An atypical presentation of necrotising fasciitis
| Autor: | T Gradistanac, S Petros, F. Seidel, K Kunz, L Weidhase, P Hepp, S Strocka |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Neutropenia Lymphoma medicine.medical_treatment Necrotising fasciitis Clinical manifestation 030230 surgery 03 medical and health sciences 0302 clinical medicine Escherichia coli medicine Humans Fasciitis Necrotizing Escherichia coli Infections Aged Chemotherapy business.industry Mortality rate Surgical debridement General Medicine medicine.disease Surgery Online Case Report 030220 oncology & carcinogenesis Presentation (obstetrics) business |
| Zdroj: | The Annals of The Royal College of Surgeons of England. 99:e83-e84 |
| ISSN: | 1478-7083 0035-8843 |
| DOI: | 10.1308/rcsann.2016.0348 |
| Popis: | Necrotising fasciitis is a rare infection with a high mortality rate. Clinical manifestation may be influenced by an underlying disease state. We report a case of a 70-year-old man with an anaplastic large-cell lymphoma who presented with inconclusive signs of necrotising fasciitis following a neutropenic phase after chemotherapy. Surgical exploration did not reveal the typical macroscopic features of necrotising fasciitis. Microbiological investigations revealed Escherichia coli. The lack of massive tissue inflammation, probably due to the neutropenia in our patient, has not been described by other authors. Diagnostic uncertainties owing to masked or uncharacteristic signs in immune compromised patients may lead to a delayed surgical debridement, of which clinicians should be aware. |
| Databáze: | OpenAIRE |
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