Necrotizing myositis case report and brief literature study
Autor: | Arthur Basso, Filip Moerman, Christophe Ronsmans, Martine Demarche |
---|---|
Rok vydání: | 2019 |
Předmět: |
Adult
Male medicine.medical_specialty Streptococcus pyogenes Quadriceps Muscle 03 medical and health sciences 0302 clinical medicine Streptococcal Infections Humans Immunologic Factors Vasoconstrictor Agents Medicine Blood Transfusion Fasciitis Necrotizing 030212 general & internal medicine Hyperbaric Oxygenation Myositis business.industry fungi Necrotizing myositis Immunoglobulins Intravenous Pharyngitis General Medicine Shock Septic Dermatology Anti-Bacterial Agents Debridement 030220 oncology & carcinogenesis Soft tissue infection Presentation (obstetrics) Literature study business |
Zdroj: | Acta Clinica Belgica. 75:424-428 |
ISSN: | 2295-3337 1784-3286 |
DOI: | 10.1080/17843286.2019.1637388 |
Popis: | Necrotizing myositis is an extremely rare soft tissue infection, mainly caused by Group A Streptococci. Although its presentation is nonspecific and seems harmless, it quickly leads to death in almost all cases. Therefore, diagnosis and treatment of necrotizing myositis are considered as medical emergencies. The 27 years old patient we report benefited from early diagnosis and care. Necrotic tissues were surgically removed 24 hours after the appearance of the first clinical signs. Intravenous antibiotherapy as well as immunoglobulin therapy were also given on the first day. Starting from this clinical case, we present a brief explanation of the pathogenesis, the key clinical features and appropriate tools for diagnosis. Then, adequate antibiotherapy, role of immunoglobulin therapy and interest of hyperbaric oxygenotherapy will be discussed. |
Databáze: | OpenAIRE |
Externí odkaz: |