scholarly journals Pediatric Necrotizing Fasciitis: Restitutio Ad Integrum after Early Diagnosis and Aggressive Surgical Treatment

2016 ◽  
Vol 04 (01) ◽  
pp. 034-036 ◽  
Author(s):  
Angela Lemaréchal ◽  
Sabine Zundel ◽  
Philipp Szavay
Keyword(s):  
Surgical Treatment ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Aggressive Therapy ◽  
Life Threatening ◽  
Condition Diagnosis ◽  
Restitutio Ad Integrum ◽  
Infectious Condition

Necrotizing fasciitis (NF) is a severe, life-threatening infectious condition. Diagnosis is difficult due to unspecific symptoms yet crucial for favorable outcomes. We report a case of a 1 year old, previously healthy boy, where early suspicion of NF led to prompt aggressive therapy and consecutive restitutio ad integrum.

Foregut Cysts in Infants and Children

1982 ◽  
Vol 91 (6) ◽  
pp. 622-627 ◽  
Author(s):  
Seymour R. Cohen ◽  
Kenneth A. Geller ◽  
Jeffrey W. Birns ◽  
Jerome W. Thompson ◽  
Bert W. Meyer ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Early Diagnosis ◽  
Tracheobronchial Tree ◽  
Disease Entity ◽  
Pathologic Findings ◽  
Life Threatening ◽  
Proper Diagnosis ◽  
Cervical Area ◽  
In Infants And Children

The charts of 15 patients with foregut cysts were reviewed. The lesions were intrathoracic in 14 patients and in the cervical area in one child. The importance of early diagnosis and surgical management is stressed. In untreated infants with foregut cysts, severe progressive and life-threatening airway obstruction may develop. Since the symptoms of this congenital lesion may simulate other more common diseases of the tracheobronchial tree and esophagus, the physician should become familiar with this disease entity so that proper diagnosis and surgical treatment will not be delayed. The study includes symptomatology, methods of diagnosis, pathologic findings and classification of the cysts.

scholarly journals Post-traumatic occipital psoriatic plaque complicated by extensive necrotizing fasciitis of the head and neck: a case report and literature review

2018 ◽  
Vol 46 (8) ◽  
pp. 3480-3486 ◽  
Author(s):  
Paul Andrei Ţenţ ◽  
Mihai Juncar ◽  
Ovidiu Mureșan ◽  
Oana Cristina Arghir ◽  
Dan Marcel Iliescu ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Rare Case ◽  
Severe Infection ◽  
Cellular Tissue ◽  
Cervical Region ◽  
Psoriatic Plaque ◽  
Post Traumatic

Necrotizing fasciitis (NF) is a severe infection involving the superficial fascial layers, subcutaneous cellular tissue, and possibly skin. It usually has a fulminant evolution, rapidly leading to death in the absence of early diagnosis and aggressive surgical treatment. We herein report a rare case of NF secondary to a traumatized occipital psoriatic plaque in an alcoholic 47-year-old woman and compare this case with the published literature. The NF extended to the entire scalp, right face, and posterior and lateral cervical region. Despite the initially guarded prognosis, the patient’s survival emphasizes the importance of aggressive surgical treatment with wide excision of all necrotic structures without any aesthetic compromise.

Necrotizing Fasciitis in a Plaster-Casted Limb: Case Report

2009 ◽  
Vol 18 (3) ◽  
pp. 288-287 ◽  
Author(s):  
Giora Netzer ◽  
Barry D. Fuchs
Keyword(s):  
Pulmonary Embolism ◽  
Deep Vein Thrombosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Tibial Fracture ◽  
Suspected Infection ◽  
Vein Thrombosis ◽  
Life Threatening ◽  
Deep Vein

Casts may be associated with, and mask, serious life-threatening complications, including infection, compartment syndrome, and deep vein thrombosis with or without pulmonary embolism. A 43-year-old woman had necrotizing fasciitis associated with a closed-reduction casting of a tibial fracture. Her treatment highlights the importance of removing a cast and assessing the skin and tissue underneath for signs of infection in patients with suspected infection. Thorough assessment, early diagnosis, and early intervention in necrotizing fasciitis and sepsis are important to improve patients’ outcomes.

scholarly journals Early Diagnosis and Surgical Treatment for Necrotizing Fasciitis: A Multicenter Study

2017 ◽  
Vol 4 ◽  
Author(s):  
Evangelos P. Misiakos ◽  
George Bagias ◽  
Iordanis Papadopoulos ◽  
Nickolaos Danias ◽  
Paul Patapis ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Multicenter Study

scholarly journals Necrotizing Fasciitis: a Clinical Case and a Review of the Literature

2020 ◽  
Vol 12 (4) ◽  
pp. 141-146
Author(s):  
Ivanka Danchova Temelkova ◽  
Yordan Stoyanov Milev ◽  
Zhasmina Krasimirova Garkova ◽  
Tsveta Ivanova Kalinova ◽  
Zhenya Krasimirova Dimitrova ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Severe Pain ◽  
Clinical Case ◽  
Subcutaneous Tissue ◽  
Good Prognosis ◽  
Review Of The Literature ◽  
Fatal Course ◽  
Life Threatening

Abstract Necrotizing fasciitis is a soft tissue, life-threatening infection with a fulminant and often fatal course. Early diagnosis is usually delayed as the onset of the disease is often masked in the form of erysipelas or cellulite. The condition is characterized by necrosis of the skin, subcutaneous tissue and underlying fascia. We describe a case of a 42-year-old man with a complaint of erythema, fever and severe pain in his right leg 4 days before hospitalization. The patient was admitted and treated with a diagnosis of erysipelas. A few hours after admission, in connection with a drastic deterioration in the general condition and dermatological status, he was transferred to a purulentseptic ward with a fulminant picture of necrotizing fasciitis. Debridement and fasciotomy were performed successfully and timely. Good prognosis and survival in patients with NF correlate directly with the complex of measures. Appropriate antibiotics and intensive general support avoid massive systemic diffusion. Early and adequate surgical debridement and fasciotomy are associated with improved survival.

Hirschsprung Disease

1995 ◽  
Vol 16 (1) ◽  
pp. 5-11
Author(s):  
Colin Rudolph ◽  
Lee Benaroch
Keyword(s):  
Differential Diagnosis ◽  
Surgical Treatment ◽  
Early Diagnosis ◽  
Bowel Obstruction ◽  
Hirschsprung Disease ◽  
Mechanical Obstruction ◽  
Severe Diarrhea ◽  
The Past ◽  
Clinical Presentations ◽  
Life Threatening

In 1886, Harald Hirschsprung first described a disorder in newborns of severe constipation with dilatation and hypertrophy of the colon. No mechanical obstruction could be demonstrated, but there appeared to be an area of spasm that prevented the movement of lumen contents through the sigmoid or rectum. This disorder, termed Hirschsprung disease, later was recognized to be due to an absence of the intramural neural ganglia in the rectum, and provided the first example of an abnormality of intestinal innervation associated with a disorder of gastrointestinal movement. Recent insights into the development of the gastrointestinal neural plexus that provide new clues to the pathogenesis of Hirschsprung disease are discussed in the first section of this review. Despite continued uncertainty about the pathogenesis of Hirschsprung disease, surgical treatment approaches have evolved over the past 50 years, and after removal of the abnormal bowel, most affected children lead normal, productive lives. Unfortunately, children who have Hirschsprung disease can develop life-threatening bowel obstruction with perforation or severe diarrhea and sepsis before surgery. Early diagnosis and surgical treatment are crucial to preventing these complications, which remain the major cause of serious morbidity and mortality. To assure early diagnosis, this article reviews the clinical presentations of Hirschsprung disease and provides an approach to the differential diagnosis of constipation among infants and children.

Necrotizing Fasciitis Occurred in the Lymphedematous leg

2021 ◽  
pp. 153473462110230
Author(s):  
Hisako Hara ◽  
Makoto Mihara ◽  
Takeshi Todokoro
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Lower Limb ◽  
Gynecologic Cancer ◽  
Vital Signs ◽  
Ethics Committee ◽  
Secondary Lymphedema ◽  
Delayed Treatment ◽  
Institutional Ethics ◽  
Life Threatening

Lymphedema is a chronic edema that sometimes occurs after treatment of gynecologic cancer, and cellulitis often occurs concomitantly with lymphedema. On the other hand, necrotizing fasciitis (NF) is a relatively rare, but life-threatening disease. The symptoms in cellulitis and NF are very similar. In this case report, we describe a case in which the diagnosis of NF in a lymphedematous limb was difficult. A 70-year-old woman had secondary lymphedema in bilateral legs and consulted our department. On the first day of lymphedema therapy, the patient complained of vomiting, diarrhea, and fever (37.7 °C) without local fever in the legs. She was diagnosed with acute gastroenteritis. On the next day, swelling and pain in her left leg occurred and her blood pressure was 59/44 mmHg. She was diagnosed with cellulitis accompanied by lower limb lymphedema and septic shock. On the second day, blisters appeared on the left leg, and computed tomography showed NF. We performed debridement under general anesthesia and her vital signs improved postoperatively. Streptococcus agalactiae (B) was detected in blood culture, and we administered bixillin and clindamycin. Postoperatively, necrosis in the skin and fat around the left ankle gradually spread, and it took 5 months to complete epithelialization. The diagnosis was more difficult than usual NF because patients with lymphedema often experience cellulitis. Clinicians should always think of NF to avoid mortality due to delayed treatment. This case report was approved by the institutional ethics committee.

POTT’S PUFFY TUMOR: A CASE REPORT

2020 ◽  
Vol 18 (Suppl.1) ◽  
pp. 93-96
Author(s):  
V. Stoyanov ◽  
D. Petkov ◽  
P. Bozdukova
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Rare Complication ◽  
Frontal Bone ◽  
Frontal Sinusitis ◽  
Subperiosteal Abscess ◽  
Prompt Treatment ◽  
Pott’S Puffy Tumor ◽  
Intracranial Complications ◽  
Life Threatening

Pott’s puffy tumor (PPT) is a rare complication of sinusitis characterized by osteomyelitis of the frontal bone with subperiosteal abscess presenting as frontal swelling. It was first described by Sir Percival Pott in 1768 in relation to frontal head trauma. Later, it was established that this entity is more common in relation to frontal sinusitis (1). In this article we report a case of PPT in a 17-year-old boy. CT scan confirmed subperiosteal abscess. At surgery, the subperiosteal abscess was drained and sequestrectomy of the affected frontal bone was done. Broad-spectrum antibiotics were given for 4 weeks. The patient recovered without residual problems and has remained well. PPT is now relatively uncommon and early diagnosis and prompt treatment is necessary to avoid further intracranial complications, which can be life-threatening.

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