Unusual Infections Associated with Colorectal Cancer

Unusual infections associated with colorectal tumors may, in some instances, be the sole clue to the presence of a malignancy. The infections are either related to invasion of tissues or organs in close proximity to the tumor or secondary to distant seeding by transient bacteremia arising from necro...

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Bibliographic Details
Published in:Reviews of infectious diseases 1988-03, Vol.10 (2), p.347-364
Main Author: PANWALKER, A. P
Format: Article
Language:English
Subjects:
Abscess - etiology
Abscesses
Aged
Bacteremia
Bacterial Infections - etiology
Bacteroides Infections - etiology
Biological and medical sciences
Carcinoma
Clostridium Infections - etiology
Colonic Diseases - etiology
Colonic Neoplasms - complications
Colorectal cancer
Endocarditis
Endocarditis, Bacterial - etiology
Fistula - etiology
Gas gangrene
Gas Gangrene - etiology
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Infections
Male
Medical sciences
Meningitis - etiology
Middle Aged
Rectal Neoplasms - complications
Review Articles
Sepsis
Sepsis - etiology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Streptococcal Infections - etiology
Streptococcus bovis
Subcutaneous Emphysema - etiology
Tumors
Urinary Bladder Fistula - etiology
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Summary:Unusual infections associated with colorectal tumors may, in some instances, be the sole clue to the presence of a malignancy. The infections are either related to invasion of tissues or organs in close proximity to the tumor or secondary to distant seeding by transient bacteremia arising from necrotic tumors. Seven patients seen at one hospital over a 5-year period illustrate the clinical presentations of such infections. The infections identified in these seven patients include endocarditis, meningitis, nontraumatic gas gangrene, empyema, hepatic abscesses, retroperitoneal abscess, clostridial sepsis, and colovesical fistulae with urosepsis. A computer-assisted search of the English-language literature and cross-checks from other review articles identified other infections associated with colon cancer, which include nontraumatic crepitant cellulitis, suppurative thyroiditis, pericarditis, appendicitis, pulmonary microabscesses, septic arthritis, and fever of unknown origin. The clinical importance of these infections and their correlation with colorectal malignancies are reviewed.
ISSN:0162-0886