Necrotizing myositis in a neutropenic patient: the use of ultrasound in the diagnosis of atypical presentations
| Autor: | Cesar Henriquez-Camacho, Edgardo Celi, David Cancho, Ailie Flora Knox, Maria Del Carmen Torrejón |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Pediatrics business.industry medicine.medical_treatment Ultrasound Necrotizing myositis lcsh:Medical emergencies. Critical care. Intensive care. First aid Toxic shock syndrome Soft tissue Immunosuppression Case Report General Medicine lcsh:RC86-88.9 medicine.disease Surgery Neutropenic patient Diabetes mellitus medicine business Complication |
| Zdroj: | Case Reports in Emergency Medicine Case Reports in Emergency Medicine, Vol 2014 (2014) |
| ISSN: | 2090-648X |
| Popis: | We report a case of fatal necrotizing soft tissue infection (NSTI) due toClostridium perfringens(CP) in a neutropenic patient with diabetes mellitus. As in many cases, by the time a diagnosis was made, the condition had rapidly progressed to its late stages, resulting in a fatal outcome. The emergency physician should be aware of NSTI as a complication when patients present with pain out of proportion to physical findings and/or signs of soft tissue compromise. Negative prognostic factors for survival are diabetes mellitus, immunosuppression, age, and toxic shock syndrome. A bedside ultrasound scan allows for rapid evaluation in time-sensitive critically ill patients and can promote prompt treatment without the need to delay for further imaging studies. |
| Databáze: | OpenAIRE |
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