scholarly journals A Case of Postsurgical Necrotizing Fasciitis Invading the Rectus Abdominis Muscle and Review of the Literature

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Francesco Carbonetti ◽  
Antonio Cremona ◽  
Marco Guidi ◽  
Valentina Carusi
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Medical Intervention ◽  
Routine Practice ◽  
Rectus Abdominis Muscle ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
General Radiologist ◽  
Life Threatening ◽  
Common Infections

Necrotizing fasciitis is a life-threatening, soft tissue infection and an early diagnosis is needed to permit a prompt surgical and medical intervention. Due to the high fatal potential of the disease complications, the radiologist should distinguish necrotizing fasciitis from the most common soft tissue infections, in order to permit a prompt surgical and medical treatment. We present a case of a wide necrotizing fasciitis who presented at our emergency department and we also provide the basic tools, through a review of the literature, for the general radiologist to distinguish, with computed tomography and magnetic resonance imaging, necrotizing fasciitis from the most common infections that could present during our routine practice.

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.

Skin and Soft Tissue Infections

2015 ◽  
Author(s):  
Daniel J. Pallin
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Bacterial Infections ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Skin Infections ◽  
Soft Tissue Infections ◽  
Protective Mechanisms ◽  
Contact Precautions ◽  
Life Threatening ◽  
Plantar Warts

The skin is the largest organ of the human body, and has diverse functions including protection from infection, temperature regulation, sensation, and immunologic and hormonal functions. Skin infections occur when the skin’s protective mechanisms fail. Some infections may be life-threatening (eg, necrotizing fasciitis) or may require the patient to be placed on contact precautions; thus, the initial goals of assessment of patients with skin and soft tissue infections are to assess the patient’s stability and to determine whether precautions are necessary to protect others. This review covers the pathophysiology, stabilization and assessment, diagnosis and treatment, and disposition and outcomes for a variety of skin and soft tissue infections. Figures show an algorithm for treatment of bacterial infections of the skin, and photographs of  various infections including necrotizing fasciitis, cellulitis, an abscess caused by methicillin-resistant Staphylococcus aureus, a furuncle, a carbuncle, nonbullous and bullous impetigo, echythma, folliculitis, anthrax lesion, tinea corporis, condyloma acuminatum, and plantar warts. Tables list cellulitis treatment with particular exposures, the dermatophytoses, and yeast infections of skin and mucous membranes. This review contains 16 highly rendered figures, 3 tables, and 32 references.

scholarly journals Necrotizing Fasciitis of The Abdominal Wall Following Colonoscopy with Fatal Outcome - A Case Report

2019 ◽  
pp. 1-3
Author(s):  
Daniel Matz ◽  
Oleg Heizmann
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Group A Streptococcus ◽  
Subcutaneous Tissue ◽  
Fatal Outcome ◽  
Anaerobic Bacteria ◽  
Tissue Infection ◽  
Life Threatening ◽  
Staphylococcus Spp

Necrotizing fasciitis (NF) is a serious and potentially life threatening soft tissue infection, usually caused by different types of bacteria such as group A streptococcus, staphylococcus spp. (type 1 infection) or mixed infection by aerobic and anaerobic bacteria (type 2 infection). Usually, the infection arises from skin injury, in injections or surgical procedures and effects the fascia as well as the subcutaneous tissue. Overwhelming progression and difficulties in diagnosing are very common. Mortality rate is up to 100% depending on the type of soft tissue infection and did not markedly decrease in the past decades [1]. Here we present a case of NF with fatal outcome following colonoscopy, which was primarily suspected to be a post polypectomy syndrome.

Soft Tissue Amyloidoma of the Extremities: A Case Report and Review of the Literature

2004 ◽  
Vol 128 (11) ◽  
pp. 1270-1273 ◽  
Author(s):  
Richard L. Bardin ◽  
Craig E. Barnes ◽  
Constance A. Stanton ◽  
Kim R. Geisinger
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Needle Aspiration ◽  
Malignant Neoplasms ◽  
Apparent Mass ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Fine Needle ◽  
Radiological Features ◽  
Tissue Histology

Abstract The deposition of amyloid as a distinct, clinically apparent mass is uncommon, particularly in soft tissues. Among reported sites of soft tissue amyloidomas, the extremities are quite rare. Amyloid tumors can mimic malignant neoplasms both clinically and radiologically. We report a case of AA amyloidoma presenting in the deltoid region with radiological features suggesting sarcoma. Cytomorphology from fine-needle aspiration material, tissue histology, and appearance by magnetic resonance imaging are described. The literature on soft tissue amyloidoma is reviewed.

Rare Intramuscular Lipoma of the Foot: A Case Report

2021 ◽  
Vol 111 (3) ◽  
Author(s):  
Peter Awad
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Tumor ◽  
Imaging Modality ◽  
Review Of The Literature ◽  
Resonance Imaging ◽  
Tissue Tumor ◽  
Intramuscular Lipoma ◽  
Surgical Preparation ◽  
Pathology Reports

Intramuscular lipoma is a rare subset of a more common soft-tissue tumor, lipoma. The etiology is unknown. It is a rare soft-tissue tumor with an overall incidence of less than 1% of all lipomas. Magnetic resonance imaging tends to be the imaging modality of choice, used for surgical preparation. Widely accepted treatment involves local excision. The author presents a case study involving a patient with an abnormally large, recurrent intramuscular lipoma of the left hallux, surgically excised and confirmed by pathology reports. iscussion includes a review of intramuscular lipoma. A review of the literature revealed only two previous reports.

Vibrio vulnificus-Induced Necrotizing Fasciitis Complicated by Multidrug-Resistant Acinetobacter baumannii Infection: Efficacy of Chemical Necrectomy Using 40% Benzoic Acid

2021 ◽  
pp. 153473462110043
Author(s):  
Bretislav Lipový ◽  
Radomir Mager ◽  
Filip Raška ◽  
Marketa Hanslianová ◽  
Josef Blažek ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Benzoic Acid ◽  
Necrotizing Fasciitis ◽  
Acinetobacter Baumannii ◽  
Soft Tissue Infection ◽  
Vibrio Vulnificus ◽  
Tissue Infection ◽  
Diabetic Patients ◽  
High Morbidity ◽  
Life Threatening

Necrotizing fasciitis is a life-threatening skin and soft tissue infection associated with high morbidity and mortality in adult patients. This infection can present as either type 1 infection caused by a mixed microflora ( Streptococci, Enterobacteriacae, Bacteroides sp., and Peptostreptococcus sp.), most commonly developing in patients after surgery or in diabetic patients, or as type 2. The latter type is monomicrobial and, usually, caused by group A Streptococci. Rarely, this type can be also caused by other pathogens, such as Vibrio vulnificus. V vulnificus is a small mobile Gram-negative rod capable of causing 3 types of infections in humans—gastroenteritis, primary infection of the vascular bed, and wound infections. If infecting a wound, V vulnificus can cause a life-threatening condition—necrotizing fasciitis. We present a rare case of necrotizing fasciitis developing after an insect bite followed by exposure to the seawater. Rapid propagation of the infectious complication in the region of the right lower limb led to a serious consideration of the necessity of amputation. Due to the clearly demarcated necroses and secondary skin and soft tissue infection caused by a multiresistant strain of Acinetobacter baumannii, we, however, resorted to the use of selective chemical necrectomy using 40% benzoic acid—a unique application in this kind of condition. The chemical necrectomy was successful, relatively gentle and thanks to its selectivity, vital parts of the limb remained preserved and could have been subsequently salvaged at minimum blood loss. Moreover, the antimicrobial effect of benzoic acid led to rapid decolonization of the necrosis and wound bed preparation, which allowed us to perform defect closure using split-thickness skin grafts. The patient subsequently healed without further complications and returned to normal life.

scholarly journals Necrotizing fasciitis caused by Pseudomonas aeruginosa: a rare case report and recent concepts in diagnosis and management

2020 ◽  
Vol 6 (5) ◽  
pp. 1100
Author(s):  
Naresh Kumar ◽  
Akshay Lamba ◽  
Jyotirmay Das ◽  
Avik K. Neogi ◽  
Kunal Arora ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Rare Case ◽  
Functional Deficits ◽  
Rare Case Report ◽  
Life Threatening ◽  
Pseudomonas Infection ◽  
Early Debridement

<p>Necrotizing fasciitis caused by <em>Pseudomonas aeruginosa</em> is an extremely rare and life threatening bacterial soft tissue infection. Here we report a case study of fully established necrotizing fasciitis associated with monomicrobial pseudomonas infection in a 34 years old male. The patient presented with painful, necrosed areas of skin and soft tissue over right gluteal region which rapidly progressed to right upper back. Aggressive supportive measures and early debridement lead to a full recovery with no functional deficits.</p>

scholarly journals Sonographic Detection of Necrotizing Fasciitis

2017 ◽  
Vol 33 (4) ◽  
pp. 311-316 ◽  
Author(s):  
Melissa L. Clark ◽  
Kelsy L. Fisher
Keyword(s):  
Necrotizing Fasciitis ◽  
Laboratory Tests ◽  
Diagnostic Information ◽  
Progressive Damage ◽  
Resonance Imaging ◽  
Life Threatening ◽  
Prompt Diagnosis ◽  
Loss Of Limbs

Necrotizing fasciitis is a rare, life-threatening, flesh-eating bacterial infection that quickly destroys soft tissue beneath the skin. Left untreated, it can result in the loss of limbs or even death. A diagnosis is most often made through laboratory tests and diagnostic imaging such as magnetic resonance imaging, computed tomography (CT), and sonography. This case study demonstrates the use of sonography to assist in the detection and characterization of necrotizing fasciitis. In this case, CT provided the necessary diagnostic information to accurately diagnose necrotizing fasciitis. The prompt diagnosis for this patient facilitated expedited treatment in an effort to stem progressive damage to the affected limb.

scholarly journals Necrotizing Fasciitis Associated withStaphylococcus lugdunensis

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Tony Hung ◽  
Soroush Zaghi ◽  
Jonathan Yousefzadeh ◽  
Matthew Leibowitz
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Staphylococcal Infection ◽  
Tissue Destruction ◽  
First Case ◽  
Life Threatening ◽  
Group A ◽  
Group B

Necrotizing fasciitis is a life-threatening soft tissue infection that results in rapid local tissue destruction. Type 1 necrotizing fasciitis is characterized by polymicrobial, synergistic infections that are caused by non-Group Astreptococci, aerobic and anaerobic organisms. Type 2 necrotizing fasciitis involves Group AStreptococcus(GAS) with or without a coexisting staphylococcal infection. Here we provide the first report of necrotizing fasciitis jointly associated with the microbes Group BStreptococcusandStaphylococcus lugdunensis.S. lugdunensisis a commensal human skin bacterium known to cause often painful and prolonged skin and soft tissue infections. To our knowledge, however, this is the first case ofStaph. lugdunensis-associated necrotizing fasciitis to be reported in the literature.

scholarly journals Necrotizing Fasciitis of the Breast: Case Report with Literature Review

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Basem ALShareef ◽  
Nourah ALSaleh
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Literature Review ◽  
Necrotizing Fasciitis ◽  
Surgical Intervention ◽  
Intravenous Antibiotic ◽  
Treatment Delays ◽  
Simple Mastectomy ◽  
Life Threatening ◽  
Disease Free

Necrotizing fasciitis is a life-threatening aggressive soft tissue infection which usually affects the extremities, abdominal wall, or perineum. Breasts are rarely affected, with most cases presenting after trauma or surgical intervention. It may be misdiagnosed as abscess or cellulitis, leading to treatment delays. Here, we report a case of necrotizing fasciitis affecting both breasts in a 60-year-old female. Treatment included core biopsy managed with intravenous antibiotic and surgical debridement followed by a simple mastectomy. Currently, the patient is disease-free with a completely healed wound.

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