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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...

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Autores principales: Tramallino, Jorge, Wojda, Adelaide, Farhat, Houssein, Muhadri, Atdhe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2023
Materias:
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.
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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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