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Necrotizing fasciitis of the hand: a case report
Necrotizing Fasciitis is a rare life-threatening infection, usually polymicrobial, that frequently affects the extremities in as many as two thirds of the cases. It typically involves primarily the muscular fascia, and then spreads through muscular and subcutaneous tissues. The early diagnosis may b...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Mattioli 1885
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6503417/ https://www.ncbi.nlm.nih.gov/pubmed/30715018 http://dx.doi.org/10.23750/abm.v90i1-S.7992 |
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author | Andrea, Minini Stefano, Galli Andrea, Salvi Guido, Zarattini |
author_facet | Andrea, Minini Stefano, Galli Andrea, Salvi Guido, Zarattini |
author_sort | Andrea, Minini |
collection | PubMed |
description | Necrotizing Fasciitis is a rare life-threatening infection, usually polymicrobial, that frequently affects the extremities in as many as two thirds of the cases. It typically involves primarily the muscular fascia, and then spreads through muscular and subcutaneous tissues. The early diagnosis may be challenging, and appears to be crucial in the management of this condition. We report a case of a 45-year-old man, former drug abuser, diabetic, HCV+, who developed a necrotizing fasciitis of the hand following a minor trauma. Early diagnosis based on clinical, laboratory (LRINEC score) and radiological findings, together with an accurate debridement of the affected site, allowed us to limitate the amputation to the third ray only. The reconstruction with the capitate osteotomy and the coverage with the posterior interosseous flap helped us in further reduction of the functional impairment of the hand. (www.actabiomedica.it) |
format | Online Article Text |
id | pubmed-6503417 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Mattioli 1885 |
record_format | MEDLINE/PubMed |
spelling | pubmed-65034172019-05-08 Necrotizing fasciitis of the hand: a case report Andrea, Minini Stefano, Galli Andrea, Salvi Guido, Zarattini Acta Biomed Case Report Necrotizing Fasciitis is a rare life-threatening infection, usually polymicrobial, that frequently affects the extremities in as many as two thirds of the cases. It typically involves primarily the muscular fascia, and then spreads through muscular and subcutaneous tissues. The early diagnosis may be challenging, and appears to be crucial in the management of this condition. We report a case of a 45-year-old man, former drug abuser, diabetic, HCV+, who developed a necrotizing fasciitis of the hand following a minor trauma. Early diagnosis based on clinical, laboratory (LRINEC score) and radiological findings, together with an accurate debridement of the affected site, allowed us to limitate the amputation to the third ray only. The reconstruction with the capitate osteotomy and the coverage with the posterior interosseous flap helped us in further reduction of the functional impairment of the hand. (www.actabiomedica.it) Mattioli 1885 2019 /pmc/articles/PMC6503417/ /pubmed/30715018 http://dx.doi.org/10.23750/abm.v90i1-S.7992 Text en Copyright: © 2019 ACTA BIO MEDICA SOCIETY OF MEDICINE AND NATURAL SCIENCES OF PARMA http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License |
spellingShingle | Case Report Andrea, Minini Stefano, Galli Andrea, Salvi Guido, Zarattini Necrotizing fasciitis of the hand: a case report |
title | Necrotizing fasciitis of the hand: a case report |
title_full | Necrotizing fasciitis of the hand: a case report |
title_fullStr | Necrotizing fasciitis of the hand: a case report |
title_full_unstemmed | Necrotizing fasciitis of the hand: a case report |
title_short | Necrotizing fasciitis of the hand: a case report |
title_sort | necrotizing fasciitis of the hand: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6503417/ https://www.ncbi.nlm.nih.gov/pubmed/30715018 http://dx.doi.org/10.23750/abm.v90i1-S.7992 |
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