Use of regional limb perfusion with amikacin sulphate in the treatment of a severe soft tissue infection in the extremity of a dog

Necrotizing fasciitis is a severe soft tissue infection with a high mortality rate and therefore requires emergent surgical treatment. Several microorganisms can cause this infection, Photobacterium damselae being one of them, with only eight cases previously published in the literature. We report the first ever case of necrotizing fasciitis, caused by this microorganism, in Portugal. In this case report the patient survived after several debridement procedures and reconstruction of the upper limb with acellular dermal matrix and skin graft. A brief review of the Photobacterium damselae soft tissue infection reports as well as the clinical presentation, diagnosis, pathophysiology and treatment of necrotizing fasciitis can also be found in this paper.

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Severe Soft-Tissue Infection Caused by Eikenella corrodens

Clinical Infectious Diseases ◽

10.1093/clind/15.4.740-b ◽

1992 ◽

Vol 15 (4) ◽

pp. 740-741 ◽

Cited By ~ 4

Author(s):

J. H. Poliner ◽

A. Khan ◽

C. U. Tuazon

Keyword(s):

Soft Tissue ◽

Soft Tissue Infection ◽

Tissue Infection ◽

Eikenella Corrodens ◽

Severe Soft Tissue

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Two Unusual Cases of Severe Soft Tissue Infection Caused by Streptococcus dysgalactiae subsp. equisimilis

Journal of Clinical Microbiology ◽

10.1128/jcm.01737-09 ◽

2010 ◽

Vol 48 (4) ◽

pp. 1484-1487 ◽

Cited By ~ 13

Author(s):

B. R. Kittang ◽

N. Langeland ◽

S. Skrede ◽

H. Mylvaganam

Keyword(s):

Soft Tissue ◽

Soft Tissue Infection ◽

Tissue Infection ◽

Streptococcus Dysgalactiae ◽

Severe Soft Tissue

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Severe Soft Tissue Infection in Pressure Ulcers: A Multidisciplinary Approach

Open Access Journal of Biogeneric Science and Research ◽

10.46718/jbgsr.2020.04.000105 ◽

2020 ◽

Vol 4 (4) ◽

Author(s):

Giovanni Cestaro

Keyword(s):

Soft Tissue ◽

Soft Tissue Infection ◽

Multidisciplinary Approach ◽

Pressure Ulcers ◽

Tissue Infection ◽

Severe Soft Tissue

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Soft Tissue Infection after Missile Injuries to the Extremities–A Non-Randomized, Prospective Study in Gaza City

Prehospital and Disaster Medicine ◽

10.1017/s1049023x00004465 ◽

2007 ◽

Vol 22 (2) ◽

pp. 106-108 ◽

Cited By ~ 9

Author(s):

Hazem M. Hamouda ◽

Eivind Witsø ◽

Nedal K.E. Moghani ◽

Ahmed Shahwan ◽

Øystein P. Nygaard

Keyword(s):

Soft Tissue ◽

Soft Tissue Infection ◽

Tissue Damage ◽

Soft Tissue Injuries ◽

Tissue Infection ◽

Soft Tissue Damage ◽

Safe Procedure ◽

Infected Wound ◽

Severe Soft Tissue

AbstractIntroduction:Patients with soft tissue injuries caused by missile attacks during wartime have been treated with radical debridement and delayed closure. In a study in Gaza City, the rate of infection of missile injuries to the extremities when treated with minimal surgical intervention, was measured.Methods:Patients with severe soft tissue damage, compound fractures, and injuries to major blood vessels and/or nerves were excluded from the study. One hundred fourteen patients were treated according to a standardized regime that included a superficial, minor surgery revision of the inlet and the outlet opening, and antibiotic treatment. Local soft tissue infection was defined as the presence of at least two signs of local infection.Results:A total of 109 out of 114 patients attended the first follow-up visit. Eleven (10%) of these patients had an infected wound. A total of 105 of the patients (92%) attended a second follow-up. None of these patients had an infected wound.Conclusions:Under conditions with a high number of causalities, minimal surgical treatment followed by the administration of antibiotics is a safe procedure for patients with penetrating missile injuries and less severe soft tissue damage.

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