Spontaneous Necrotizing Fasciitis
| Autor: | Mihir Odak, Patrick J Rogers, Joshua Bucher, Brent M Lewis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Allergic reaction business.industry Mortality rate soft tissue infection General Engineering Surgical debridement Soft tissue Infectious Disease Emergency department 030204 cardiovascular system & hematology medicine.disease Surgery Care facility 03 medical and health sciences surgical debridement 0302 clinical medicine medicine necrotizing fascitis Soft tissue infection business Fasciitis 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Necrotizing soft tissue infections typically begin with direct inoculation of bacteria into the subcutaneous tissues. Here, we present a case with no such exposure, but with severe necrotizing fasciitis. We present a middle-aged man presented to the emergency department for a presumed allergic reaction after having initially sought care twice at an urgent care facility. The patient had swelling, but no tenderness of his right lateral chest and flank. Subsequent imaging showed extensive fluid in the fascial planes of the right chest wall requiring surgical debridement. Necrotizing fasciitis that is not treated with surgical debridement carries a mortality rate approaching 100%. This case highlights a potential atypical presentation as well as highlights the fact that the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score lacks sensitivity to rule out a necrotizing soft tissue infection, requiring surgical debridement for diagnosis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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