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Subcutaneous emphysema or necrotizing fasciitis after insect bite?
BACKGROUND: The rapid form of subcutaneous emphysema after an insect bite is hard to distinguish from necrotizing fasciitis. CASE PRESENTATION: Here we report a case of benign subcutaneous emphysema after an insect bite on the hand of an 18-year-old Caucasian man. The puncture area in the first web...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476870/ https://www.ncbi.nlm.nih.gov/pubmed/32939391 http://dx.doi.org/10.1016/j.tcr.2020.100353 |
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author | Karahan, Nazım Oztermeli, Ahmet |
author_facet | Karahan, Nazım Oztermeli, Ahmet |
author_sort | Karahan, Nazım |
collection | PubMed |
description | BACKGROUND: The rapid form of subcutaneous emphysema after an insect bite is hard to distinguish from necrotizing fasciitis. CASE PRESENTATION: Here we report a case of benign subcutaneous emphysema after an insect bite on the hand of an 18-year-old Caucasian man. The puncture area in the first web space of his hand was erythematous and swollen. After 4 h, he began to hear crackling sounds in the hand. Although conservative management was provided, he experienced gradually increasing pain and rapid progression in swelling and crepitation. The symptoms regressed after fasciotomy. CONCLUSION: This is the fourth reported case of benign subcutaneous emphysema after an insect bite in the literature. Although benign emphysema has a good prognosis after treatment, it is similar to necrotizing fasciitis. Proper diagnosis can only be established with histological and microbiological investigations, but in cases where early histological and microbiological investigations cannot be performed, biochemistry and radiological test should be used. |
format | Online Article Text |
id | pubmed-7476870 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-74768702020-09-15 Subcutaneous emphysema or necrotizing fasciitis after insect bite? Karahan, Nazım Oztermeli, Ahmet Trauma Case Rep Case Report BACKGROUND: The rapid form of subcutaneous emphysema after an insect bite is hard to distinguish from necrotizing fasciitis. CASE PRESENTATION: Here we report a case of benign subcutaneous emphysema after an insect bite on the hand of an 18-year-old Caucasian man. The puncture area in the first web space of his hand was erythematous and swollen. After 4 h, he began to hear crackling sounds in the hand. Although conservative management was provided, he experienced gradually increasing pain and rapid progression in swelling and crepitation. The symptoms regressed after fasciotomy. CONCLUSION: This is the fourth reported case of benign subcutaneous emphysema after an insect bite in the literature. Although benign emphysema has a good prognosis after treatment, it is similar to necrotizing fasciitis. Proper diagnosis can only be established with histological and microbiological investigations, but in cases where early histological and microbiological investigations cannot be performed, biochemistry and radiological test should be used. Elsevier 2020-08-15 /pmc/articles/PMC7476870/ /pubmed/32939391 http://dx.doi.org/10.1016/j.tcr.2020.100353 Text en © 2020 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Karahan, Nazım Oztermeli, Ahmet Subcutaneous emphysema or necrotizing fasciitis after insect bite? |
title | Subcutaneous emphysema or necrotizing fasciitis after insect bite? |
title_full | Subcutaneous emphysema or necrotizing fasciitis after insect bite? |
title_fullStr | Subcutaneous emphysema or necrotizing fasciitis after insect bite? |
title_full_unstemmed | Subcutaneous emphysema or necrotizing fasciitis after insect bite? |
title_short | Subcutaneous emphysema or necrotizing fasciitis after insect bite? |
title_sort | subcutaneous emphysema or necrotizing fasciitis after insect bite? |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7476870/ https://www.ncbi.nlm.nih.gov/pubmed/32939391 http://dx.doi.org/10.1016/j.tcr.2020.100353 |
work_keys_str_mv | AT karahannazım subcutaneousemphysemaornecrotizingfasciitisafterinsectbite AT oztermeliahmet subcutaneousemphysemaornecrotizingfasciitisafterinsectbite |