Intensive Care Medicine

, Volume 29, Issue 4, pp 662–663 | Cite as

Thigh cellulitis caused by toothpick ingestion

  • N. Leelouche
  • N. Ayoub
  • F. Bruneel
  • F. Mignon
  • G. Troche
  • P. Boisrenault
  • J. P. BédosEmail author


Cellulitis is an uncommon and severe soft-tissue infection with mortality rates as high as 28% [1]. Only early and adequate management, including appropriate antibiotic therapy, aggressive surgical débridement, and supportive care, has been associated with improved survival. Although the most common cause of cellulitis is skin disruption (60–80% of cases), the disorder can also have abdominal, perineal, genitourinary, and postoperative origins. We report here, for the first time to our knowledge, a retroperitoneal and thigh cellulitis secondary to colonic perforation due to toothpick ingestion.

Case report

A 67-year-old man without previous medical history was referred to our intensive care unit because of fever and painful swollen left thigh resulting in complete disability. The patient reported difficulty in walking and increased left hip pain during the previous 3 weeks. No improvement was achieved after 1-week treatment with nonsteroidal anti-inflammatory agents. There...


Cellulitis Rectosigmoid Colon Foreign Body Ingestion Bacteroides Thetaiotaomicron Retroperitoneal Perforation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  • N. Leelouche
    • 1
  • N. Ayoub
    • 1
  • F. Bruneel
    • 1
  • F. Mignon
    • 2
  • G. Troche
    • 1
  • P. Boisrenault
    • 3
  • J. P. Bédos
    • 1
    Email author
  1. 1.Service de RéanimationHôpital MignotLe Chesnay cedexFrance
  2. 2.Service de RadiologieHôpital MignotLe Chesnay cedexFrance
  3. 3.Service de Chirurgie OrthopédiqueHôpital MignotLe Chesnay cedexFrance

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