Necrotizing Faciitis after Shoulder Mobilization and Intra-Articular Infiltration with Betametasone

Autor:	João Oliveira, António Pais Lopes, Joana Bento-Rodrigues, Jorge Rodrigues, Fernando Judas, Pedro N. Simões, Francisco M. Lucas
Rok vydání:	2013
Předmět:	medicine.medical_specialty Mobilization business.industry Clinical events Surgical debridement General Medicine medicine.disease Surgery medicine.anatomical_structure Intra articular medicine Diabetic patient business Fasciitis Infiltration (medical) Subcutaneous tissue
Zdroj:	Acta Médica Portuguesa. 26:456-459
ISSN:	1646-0758 0870-399X
Popis:	Necrotizing Fasciitis is a rapidly progressive, potentially fatal infection of superficial fasciae and subcutaneous tissue, usually resulting from an inciting trauma to the skin. Medical literature refers few cases of necrotizing fasciitis related to intra-articular infiltrations, that often lead to patients death. This report describes the clinical events on a 55 year-old diabetic patient who developed upper extremity Necrotizing Fasciitis, 18 days after shoulder mobilization and intra-articular infiltration, due to Staphylococcus epidermidis. An early surgical debridement was performed and antibiotherapy was established, resulting in a successful outcome, despite the functional disability. We point out, through this case, the possibility of intra-articular injections of drugs causing Necrotizing Fasciitis, especially in risk patients.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::68f20e804afa72456e27dda53ea234af https://doi.org/10.20344/amp.149 Zobrazit plný text záznamu