AEROMONAS HYDROPHILA NECROTIZING FASCIITIS
| Autor: | M.W.G.A. Bronkhorst, Boudewijn L S Borger van der Burg, P.V.M. Pahlplatz |
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| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Multiple Organ Failure Sepsis Fractures Open Fatal Outcome Hematoma medicine Humans Medical history Orthopedics and Sports Medicine Fasciitis Necrotizing Fibula Fasciitis business.industry General Medicine Middle Aged medicine.disease Neurovascular bundle Aeromonas hydrophila Surgery Tibial Fractures Orthopedic surgery medicine.symptom Gram-Negative Bacterial Infections business Subcutaneous emphysema |
| Zdroj: | The Journal of Bone and Joint Surgery-American Volume. 88:1357-1360 |
| ISSN: | 0021-9355 |
| Popis: | We present the case of a patient involving a rare combination of events. A nonimmunocompromised patient who was in a motorcycle collision and came into contact with stagnant water became septic within twenty-four hours after the injury and had a severe necrotizing fasciitis develop because of contamination of an open fracture of the leg. Early blood and wound cultures grew only Aeromonas hydrophila, and the clinical diagnosis of necrotizing fasciitis was confirmed histologically. Subcutaneous emphysema developed after eight days. Twenty-seven days after the injury, a transfemoral amputation was performed; however, the patient died twenty-two days later because of multiple organ failure and sepsis with Pseudomonas aeruginosa . The patient's family was informed that data concerning the case would be submitted for publication. Afifty-eight-year-old man was thrown from a motorcycle after colliding with a car and landed in a ditch filled with stagnant water. He had no relevant family or medical history. On arrival at our hospital, he was hemodynamically stable with posttraumatic amnesia of one hour. He had a Gustilo type-IIIB open fracture of the right tibia and fibula without neurovascular impairment1 (Figs. 1-A and 1-B) and a minor laceration of the right forearm. A computed tomographic scan of the head revealed a subdural hematoma. Because checks indicated that the neurological status of the patient should be monitored, surgical treatment was postponed. A thorough debridement of the leg wound was performed in the emergency … |
| Databáze: | OpenAIRE |
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