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Acute compartment syndrome of the leg due to infection following an insect bite: A case report
RATIONALE: Acute compartment syndrome is a highly aggressive condition, which needs rapid diagnosis and surgical emergency. Most cases are caused by trauma, fractures, surgeries, or vascular injury, while other causes are easily misdiagnosed. PATIENTS CONCERNS: A 29-year-old female, with a medical h...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078673/ https://www.ncbi.nlm.nih.gov/pubmed/30045298 http://dx.doi.org/10.1097/MD.0000000000011613 |
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author | Wang, Jianzhang Duan, Qiang Sun, Xiaolong Mou, Xiang Song, Baoqiang Yuan, Hua |
author_facet | Wang, Jianzhang Duan, Qiang Sun, Xiaolong Mou, Xiang Song, Baoqiang Yuan, Hua |
author_sort | Wang, Jianzhang |
collection | PubMed |
description | RATIONALE: Acute compartment syndrome is a highly aggressive condition, which needs rapid diagnosis and surgical emergency. Most cases are caused by trauma, fractures, surgeries, or vascular injury, while other causes are easily misdiagnosed. PATIENTS CONCERNS: A 29-year-old female, with a medical history of an insect bite on the left calf but not recent trauma, was admitted to the hospital due to the swelling and pain around the bite area. DIAGNOSES: Acute compartment syndrome of the lower leg. INTERVENTIONS: After admission, she developed septic shock symptoms, given intravenous antibiotics treatments. However, the condition worsened with increasing pain, loss of sensation, tense swelling, and severe pain to any stretch of the tissues. Thus the patient received fasciotomy followed by repeat and thorough debridement. After the wounds healed completely, systematic rehabilitation was performed for three weeks. OUTCOMES: After three months of follow-up, the patient is able to walk, and moves up and down the stairs, independently. LESSONS: Our case highlights the possibility of acute compartment syndrome caused by insect bites when the patient presents with the signs of the condition, and the importance of earlier rehabilitation interventions to improve the functional outcome post operation. |
format | Online Article Text |
id | pubmed-6078673 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-60786732018-08-13 Acute compartment syndrome of the leg due to infection following an insect bite: A case report Wang, Jianzhang Duan, Qiang Sun, Xiaolong Mou, Xiang Song, Baoqiang Yuan, Hua Medicine (Baltimore) Research Article RATIONALE: Acute compartment syndrome is a highly aggressive condition, which needs rapid diagnosis and surgical emergency. Most cases are caused by trauma, fractures, surgeries, or vascular injury, while other causes are easily misdiagnosed. PATIENTS CONCERNS: A 29-year-old female, with a medical history of an insect bite on the left calf but not recent trauma, was admitted to the hospital due to the swelling and pain around the bite area. DIAGNOSES: Acute compartment syndrome of the lower leg. INTERVENTIONS: After admission, she developed septic shock symptoms, given intravenous antibiotics treatments. However, the condition worsened with increasing pain, loss of sensation, tense swelling, and severe pain to any stretch of the tissues. Thus the patient received fasciotomy followed by repeat and thorough debridement. After the wounds healed completely, systematic rehabilitation was performed for three weeks. OUTCOMES: After three months of follow-up, the patient is able to walk, and moves up and down the stairs, independently. LESSONS: Our case highlights the possibility of acute compartment syndrome caused by insect bites when the patient presents with the signs of the condition, and the importance of earlier rehabilitation interventions to improve the functional outcome post operation. Wolters Kluwer Health 2018-07-27 /pmc/articles/PMC6078673/ /pubmed/30045298 http://dx.doi.org/10.1097/MD.0000000000011613 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | Research Article Wang, Jianzhang Duan, Qiang Sun, Xiaolong Mou, Xiang Song, Baoqiang Yuan, Hua Acute compartment syndrome of the leg due to infection following an insect bite: A case report |
title | Acute compartment syndrome of the leg due to infection following an insect bite: A case report |
title_full | Acute compartment syndrome of the leg due to infection following an insect bite: A case report |
title_fullStr | Acute compartment syndrome of the leg due to infection following an insect bite: A case report |
title_full_unstemmed | Acute compartment syndrome of the leg due to infection following an insect bite: A case report |
title_short | Acute compartment syndrome of the leg due to infection following an insect bite: A case report |
title_sort | acute compartment syndrome of the leg due to infection following an insect bite: a case report |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6078673/ https://www.ncbi.nlm.nih.gov/pubmed/30045298 http://dx.doi.org/10.1097/MD.0000000000011613 |
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