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The Subacute Necrotizing Fasciitis: The Forgotten form of this Life-threatening Infection. A Case Report
INTRODUCTION: Necrotizing fasciitis (NF) is a life-threatening soft-tissue infection. While the fulminate form is well documented, the subacute NF is rarely reported. Failure to consider NF as a diagnosis during this indolent presentation can be detrimental to patients because the surgical aggressiv...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Indian Orthopaedic Research Group
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10308974/ https://www.ncbi.nlm.nih.gov/pubmed/37398527 http://dx.doi.org/10.13107/jocr.2023.v13.i06.3710 |
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author | Tramallino, Jorge Wojda, Adelaide Farhat, Houssein Muhadri, Atdhe |
author_facet | Tramallino, Jorge Wojda, Adelaide Farhat, Houssein Muhadri, Atdhe |
author_sort | Tramallino, Jorge |
collection | PubMed |
description | INTRODUCTION: Necrotizing fasciitis (NF) is a life-threatening soft-tissue infection. While the fulminate form is well documented, the subacute NF is rarely reported. Failure to consider NF as a diagnosis during this indolent presentation can be detrimental to patients because the surgical aggressive debridement remains the key of the treatment. CASE REPORT: We report a case of a 54-year-old man who developed a subacute NF. After an initial diagnosis of cellulitis, the patient failed to show improvement with antibiotic treatment; he was referred to our institution in view to benefit of a surgical management. The patient developed progressive systemic toxic symptoms and an emergency debridement was made 10 h after his admission. Our patient achieves to show improvement with antibiotic treatment, vacuum-assisted closure therapy, hyperbaric oxygen therapy, and reconstructive surgery. Complete recovery was observed after 2 months. CONCLUSION: NF is a surgical emergency. Early diagnosis is essential, it is often ambiguous and commonly misdiagnosed including the subacute form. There needs to be a high suspicion for NF even in patients presenting with cellulitis without systemic symptoms. |
format | Online Article Text |
id | pubmed-10308974 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Indian Orthopaedic Research Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-103089742023-06-30 The Subacute Necrotizing Fasciitis: The Forgotten form of this Life-threatening Infection. A Case Report Tramallino, Jorge Wojda, Adelaide Farhat, Houssein Muhadri, Atdhe J Orthop Case Rep Case Report INTRODUCTION: Necrotizing fasciitis (NF) is a life-threatening soft-tissue infection. While the fulminate form is well documented, the subacute NF is rarely reported. Failure to consider NF as a diagnosis during this indolent presentation can be detrimental to patients because the surgical aggressive debridement remains the key of the treatment. CASE REPORT: We report a case of a 54-year-old man who developed a subacute NF. After an initial diagnosis of cellulitis, the patient failed to show improvement with antibiotic treatment; he was referred to our institution in view to benefit of a surgical management. The patient developed progressive systemic toxic symptoms and an emergency debridement was made 10 h after his admission. Our patient achieves to show improvement with antibiotic treatment, vacuum-assisted closure therapy, hyperbaric oxygen therapy, and reconstructive surgery. Complete recovery was observed after 2 months. CONCLUSION: NF is a surgical emergency. Early diagnosis is essential, it is often ambiguous and commonly misdiagnosed including the subacute form. There needs to be a high suspicion for NF even in patients presenting with cellulitis without systemic symptoms. Indian Orthopaedic Research Group 2023-06 2023-06 /pmc/articles/PMC10308974/ /pubmed/37398527 http://dx.doi.org/10.13107/jocr.2023.v13.i06.3710 Text en Copyright: © Indian Orthopaedic Research Group https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 Unported, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms |
spellingShingle | Case Report Tramallino, Jorge Wojda, Adelaide Farhat, Houssein Muhadri, Atdhe The Subacute Necrotizing Fasciitis: The Forgotten form of this Life-threatening Infection. A Case Report |
title | The Subacute Necrotizing Fasciitis: The Forgotten form of this Life-threatening Infection. A Case Report |
title_full | The Subacute Necrotizing Fasciitis: The Forgotten form of this Life-threatening Infection. A Case Report |
title_fullStr | The Subacute Necrotizing Fasciitis: The Forgotten form of this Life-threatening Infection. A Case Report |
title_full_unstemmed | The Subacute Necrotizing Fasciitis: The Forgotten form of this Life-threatening Infection. A Case Report |
title_short | The Subacute Necrotizing Fasciitis: The Forgotten form of this Life-threatening Infection. A Case Report |
title_sort | subacute necrotizing fasciitis: the forgotten form of this life-threatening infection. a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10308974/ https://www.ncbi.nlm.nih.gov/pubmed/37398527 http://dx.doi.org/10.13107/jocr.2023.v13.i06.3710 |
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