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Adult necrotising enterocolitis secondary Clostridium perfringens type C-pig-bel disease-is rarely seen outside of Pacific populations, with the highest incidence being in Papau New Guinea. We present the first reported case of pig-bel disease in a previously well patient without diabetes following food poisoning since 1996. In this case, the enterotoxin-induced disease necessitated emergency laparotomy and bowel resection following the failure of medical treatment and worsening septic shock. We hypothesise that obstruction secondary to a sigmoid diverticular stricture complicated by infection-related oedema led to colonic stasis and rapid progression of disease and bowel loss. Following bowel resection, several parenteral antibiotic agents and prolonged intensive care, this patient survived this severe infective process and was discharged home.

Original publication

DOI

10.1136/bcr-2016-217903

Type

Journal article

Journal

BMJ case reports

Publication Date

28/10/2016

Volume

2016

Addresses

Department of Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

Keywords

Humans, Clostridium perfringens, Clostridium Infections, Enterocolitis, Necrotizing, Middle Aged, London, Male, Foodborne Diseases