A Rare Case of Monomicrobial Necrotizing Fasciitis Associated With an Initial Acute Compartment Syndrome.

Autor: Shaffer PT; Resident Physician PGY2, Mercy Hospital & Medical Center, Chicago, IL. Electronic address: p.tanner.shaffer@gmail.com., Hook J; Assistant Residency Director at Mercy Hospital & Medical Center, Associate at Midland Orthopedics, Chicago, IL., Potter B; Benjamin Potter DPM, Resident Physician PGY3, Mercy Hospital & Medical Center, Chicago, IL.
Jazyk: angličtina
Zdroj: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons [J Foot Ankle Surg] 2022 Jan-Feb; Vol. 61 (1), pp. 195-198. Date of Electronic Publication: 2021 Aug 18.
DOI: 10.1053/j.jfas.2021.08.005
Abstrakt: In this article we report a rare case of necrotizing fasciitis presenting with the possible initial symptom of compartment syndrome. After treatment with broad spectrum and targeted antibiotics in addition to multiple fasciotomies, surgical debridement, and grafts the patient went on to uneventful healing within 6 months. This case report highlights the possibility of a compartment syndrome as the only initial symptom of a monomicrobial necrotizing soft tissue infection. While multiple case reports have documented group A streptococcal cellulitis as initiating a later acute compartment syndrome, this is to our knowledge the first case in the foot and ankle of compartment syndrome as a possible early symptom of a group A streptococcal (monomicrobial) necrotizing fasciitis.
(Copyright © 2021 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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