scholarly journals Cervical necrotising fasciitis and descending mediastinitis secondary to unilateral tonsillitis: a case report

2008 ◽  
Vol 2 (1) ◽  
Author(s):  
Asad Islam ◽  
Michael Oko
Keyword(s):  
Case Report ◽  
Necrotising Fasciitis ◽  
Descending Mediastinitis

Necrotising fasciitis of the leg following a simple pelvic fracture: case report and literature review

2006 ◽  
Vol 15 (3) ◽  
pp. 117-120 ◽  
Author(s):  
A.L. Rozeboom ◽  
P. Steenvoorde ◽  
H.H. Hartgrink ◽  
G.N Jukema
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Pelvic Fracture ◽  
Necrotising Fasciitis

EXTENSIVE CERVICAL NECROTISING FASCIITIS WITH MEDIASTINITIS IN A COVID-19 POSITIVE PATIENT: A CASE REPORT

2020 ◽  
Author(s):  
Natasha Faye Daniels ◽  
Raiiq Ridwan
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Infection ◽  
Young Male ◽  
Necrotising Fasciitis ◽  
Neck Swelling ◽  
Significant Morbidity ◽  
Complex Interplay ◽  
History Of ◽  
Mediastinal Extension

Necrotising fasciitis is a rapidly progressing soft tissue infection associated with significant morbidity and mortality. We present a case of cervical necrotising fasciitis with mediastinal extension in a diabetic young male who was COVID-19 positive. He presented with a five-day history of left-sided neck swelling which was fluctuant, red and painful. Subsequent debridement and management of the wound were complicated by the comorbid SARS-CoV2 infection due to potential need for proning. This case highlights the complex interplay between the management of two significant conditions; the surgical approach to necrotising fasciitis and the concern of deterioration due to COVID-19.

A case of gonococcal necrotising fasciitis

Sexual Health ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 280
Author(s):  
Kudzai Nzenza Kanhutu ◽  
Denis D. Spelman ◽  
Michael D. Weymouth
Keyword(s):  
Intensive Care ◽  
Case Report ◽  
Multiple Organ Failure ◽  
Organ Failure ◽  
Antimicrobial Therapy ◽  
Multiple Organ ◽  
Necrotising Fasciitis ◽  
Gonococcal Infection ◽  
Intensive Care Stay ◽  
Extended Course

This case report details the progress of a patient with severe disseminated gonococcal infection with associated necrotising fasciitis. His admission was punctuated by multiple surgical debridements and a prolonged intensive care stay due to multiple organ failure. An extended course of azithromycin-based antimicrobial therapy achieved a cure and the patient was eventually discharged home after 8 weeks. To our knowledge this is the first such case of histologically and microbiologically confirmed gonococcal necrotising fasciitis.

Subgaleal haematoma as a cause of periorbital necrotising fasciitis: a case report

Orbit ◽  
2019 ◽  
Vol 39 (2) ◽  
pp. 143-146
Author(s):  
Chloe FT Ting ◽  
Jonathan Lam ◽  
Con Anastas
Keyword(s):  
Case Report ◽  
Necrotising Fasciitis

scholarly journals Necrotising Fasciitis Caused by Adulterated Traditional Asian Medicine: A Case Report

2009 ◽  
Vol 17 (2) ◽  
pp. 223-226 ◽  
Author(s):  
Hitendra K Doshi ◽  
Joseph Thambiah ◽  
Cheng Leng Chan ◽  
Min En Nga ◽  
Paul Ananth Tambyah
Keyword(s):  
Case Report ◽  
Necrotising Fasciitis ◽  
Severe Neutropenia ◽  
Granulocyte Colony Stimulating Factor ◽  
Colony Stimulating Factor ◽  
Asian Medicine ◽  
Life Threatening ◽  
Extensive Debridement ◽  
Stimulating Factor ◽  
Prompt Diagnosis

Necrotising fasciitis can be life threatening, requiring prompt diagnosis and surgical debridement. We report a case of necrotising fasciitis caused by an adulterate traditional Asian medication— Jamu Pegal Linu, containing toxic levels of phenylbutazone and dipyrone. The patient presented with severe neutropenia and sepsis. An urgent extensive debridement was carried out (within 6 hours of presentation). Repeated debridements were performed on days 2 and 5, augmented with antibiotics and granulocyte colony-stimulating factor.

scholarly journals Case Report: Necrotising Fasciitis with Epidural Abscess

2003 ◽  
Vol 10 (1) ◽  
pp. 49-53
Author(s):  
YS Sia ◽  
YT Wong
Keyword(s):  
Hong Kong ◽  
Case Report ◽  
High Mortality ◽  
Epidural Abscess ◽  
Early Recognition ◽  
Necrotising Fasciitis ◽  
Rapid Progression ◽  
Incision And Drainage

Necrotising fasciitis is relatively uncommon in Hong Kong. Its rapid progression and deterioration is the reason for high mortality. We report a patient who presented with this condition which was complicated with epidural abscess after incision and drainage. Early recognition is the key to save the patient.

scholarly journals Case report of a submandibular abscess lethally tracking down through the mediastinum presenting as cardiac empyema

2020 ◽  
pp. 01-05
Author(s):  
Omar Y ◽  
Ali R ◽  
Anas M ◽  
Layal R
Keyword(s):  
Atrial Fibrillation ◽  
Case Report ◽  
Inflammatory Markers ◽  
Pericardial Tamponade ◽  
Shortness Of Breath ◽  
Mediastinal Abscess ◽  
Urgent Surgery ◽  
Life Threatening ◽  
High Index Of Suspicion ◽  
Descending Mediastinitis

A 46-year-old male presented to our emergency with sudden severe shortness of breath and was found to have massive pericardial effusion causing cardiac tamponade and atrial fibrillation. He had to undergo immediate pericardiocentesis to relieve his symptoms and it drained frank pus indicating pericardial empyema as the underline cause of tamponade. On physical examination, patient was found to have a left submandibular tender swelling. He had increased inflammatory markers and on further imaging the CT showed massive diffuse mediastinal abscess. The patient had to undergo urgent surgery by multiple specialist surgeons in which large amount of pus was drained from the submandibular and mediastinum resulting in improvement of his condition and speeded his recovery. Key Messages • Thorough history and examination are of utmost importance. • Immediate treatment of pericardial tamponade is lifesaving. • High index of suspicion of descending mediastinitis should arise whenever purulent pericardial drainage is encountered. • Early diagnosis of mediastinal abscess by doing early radiographic investigations reduce mortality. • Head and neck abscesses must be treated properly to prevent life-threatening conditions.

scholarly journals Complicated diverticular disease debuting as necrotising fasciitis of pelvic limb. A case report

2017 ◽  
Vol 85 (3) ◽  
pp. 240-244
Author(s):  
Cuauhtly Gallegos-Sierra ◽  
Claudia Gutiérrez-Alfaro ◽  
Gerardo Evaristo-Méndez
Keyword(s):  
Case Report ◽  
Diverticular Disease ◽  
Necrotising Fasciitis ◽  
Pelvic Limb
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