Postoperative empyema complicated with descending necrotizing fasciitis: a case report

BACKGROUND: Empyema is a serious complication of lung surgery. CASE PRESENTATION: We report a case of Streptococcus anginosus empyema complicated by descending necrotizing fasciitis after surgery. Ten days after the initial surgery, the patient presented with arrhythmia and hypotension with septic s...

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Autores principales: Kadomatsu, Yuka, Ueno, Harushi, Goto, Masaki, Ozeki, Naoki, Nakamura, Shota, Chen-Yoshikawa, Toyofumi Fengshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9283599/
https://www.ncbi.nlm.nih.gov/pubmed/35836035
http://dx.doi.org/10.1186/s40792-022-01492-9
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author Kadomatsu, Yuka
Ueno, Harushi
Goto, Masaki
Ozeki, Naoki
Nakamura, Shota
Chen-Yoshikawa, Toyofumi Fengshi
author_facet Kadomatsu, Yuka
Ueno, Harushi
Goto, Masaki
Ozeki, Naoki
Nakamura, Shota
Chen-Yoshikawa, Toyofumi Fengshi
author_sort Kadomatsu, Yuka
collection PubMed
description BACKGROUND: Empyema is a serious complication of lung surgery. CASE PRESENTATION: We report a case of Streptococcus anginosus empyema complicated by descending necrotizing fasciitis after surgery. Ten days after the initial surgery, the patient presented with arrhythmia and hypotension with septic shock. Pleural fluid analysis led to the diagnosis of empyema, and surgical debridement (second surgery) was performed. One week after the emergency surgery, a palpable pink erythematous skin change was observed on the ipsilateral iliac crest. Hence, the second emergency surgery (third surgery) was performed to debride the subcutaneous and intramuscular abscesses. CONCLUSIONS: The possibility of descending abscess and necrotizing fasciitis should be considered when Streptococcus anginosus is detected.
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spelling pubmed-92835992022-07-16 Postoperative empyema complicated with descending necrotizing fasciitis: a case report Kadomatsu, Yuka Ueno, Harushi Goto, Masaki Ozeki, Naoki Nakamura, Shota Chen-Yoshikawa, Toyofumi Fengshi Surg Case Rep Case Report BACKGROUND: Empyema is a serious complication of lung surgery. CASE PRESENTATION: We report a case of Streptococcus anginosus empyema complicated by descending necrotizing fasciitis after surgery. Ten days after the initial surgery, the patient presented with arrhythmia and hypotension with septic shock. Pleural fluid analysis led to the diagnosis of empyema, and surgical debridement (second surgery) was performed. One week after the emergency surgery, a palpable pink erythematous skin change was observed on the ipsilateral iliac crest. Hence, the second emergency surgery (third surgery) was performed to debride the subcutaneous and intramuscular abscesses. CONCLUSIONS: The possibility of descending abscess and necrotizing fasciitis should be considered when Streptococcus anginosus is detected. Springer Berlin Heidelberg 2022-07-15 /pmc/articles/PMC9283599/ /pubmed/35836035 http://dx.doi.org/10.1186/s40792-022-01492-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Kadomatsu, Yuka
Ueno, Harushi
Goto, Masaki
Ozeki, Naoki
Nakamura, Shota
Chen-Yoshikawa, Toyofumi Fengshi
Postoperative empyema complicated with descending necrotizing fasciitis: a case report
title Postoperative empyema complicated with descending necrotizing fasciitis: a case report
title_full Postoperative empyema complicated with descending necrotizing fasciitis: a case report
title_fullStr Postoperative empyema complicated with descending necrotizing fasciitis: a case report
title_full_unstemmed Postoperative empyema complicated with descending necrotizing fasciitis: a case report
title_short Postoperative empyema complicated with descending necrotizing fasciitis: a case report
title_sort postoperative empyema complicated with descending necrotizing fasciitis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9283599/
https://www.ncbi.nlm.nih.gov/pubmed/35836035
http://dx.doi.org/10.1186/s40792-022-01492-9
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