Necrotizing fasciitis of the breast: case repor

Necrotizing fasciitis is a severe soft tissue infection characterized by rapidly progressive diffuse necrosis of fascia and adjacent tissues, most reported in the abdominal wall, perineum, and extremities. Cases of idiopathic necrotizing fasciitis of the breast are rare and unrelated to risk factors. This study was conducted with a 19-year-old woman reporting mastalgia and phlogistic signs in her right breast, which evolved with serosanguineous blisters and extensive necrosis of the fascia and periareolar wall, characterizing the necrotizing fasciitis. Therefore, the authors aim to show the relevance of early diagnosis associated with prompt treatment and procedure for a better intervention outcome.

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Necrotizing Fasciitis Caused by Photobacterium damselae: The First Case in Portugal

Acta Médica Portuguesa ◽

10.20344/amp.13032 ◽

2020 ◽

Vol 33 (13) ◽

Author(s):

Diogo Guimaraes ◽

Luís Ribeiro ◽

Luís Vieira ◽

Ruben Coelho

Keyword(s):

Soft Tissue ◽

Necrotizing Fasciitis ◽

Soft Tissue Infection ◽

Acellular Dermal Matrix ◽

Tissue Infection ◽

Dermal Matrix ◽

First Case ◽

Photobacterium Damselae ◽

Acellular Dermal ◽

Severe Soft Tissue

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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NECROTIZING SOFT TISSUE INFECTION BY SERRATIA MARCESCENS: AN EARLY DIAGNOSIS WITH THE UTILIZATION OF LABORATORY RISK INDICATOR FOR NECROTIZING FASCIITIS (LRINEC) SCORE

CHEST Journal ◽

10.1016/j.chest.2021.07.799 ◽

2021 ◽

Vol 160 (4) ◽

pp. A853

Author(s):

Nehal Patel ◽

Charmi Patel ◽

Swetha Paduri ◽

Paul Roach

Keyword(s):

Soft Tissue ◽

Early Diagnosis ◽

Necrotizing Fasciitis ◽

Serratia Marcescens ◽

Soft Tissue Infection ◽

Tissue Infection ◽

Risk Indicator ◽

Necrotizing Soft Tissue Infection ◽

Lrinec Score

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Necrotizing Fasciitis of the Anterior Abdominal Wall: A Rare Complication of Neglected Strangulated Richter’s Epigastric Hernia

International Journal of Innovative Research in Medical Science ◽

10.23958/ijirms/vol05-i12/1013 ◽

2020 ◽

Vol 5 (12) ◽

pp. 602-605

Author(s):

Anwar Sadat Seidu ◽

Edwin M. T. Yenli ◽

Martin Kyereh ◽

David P. Suoseg ◽

Musah Yakubu ◽

...

Keyword(s):

Soft Tissue ◽

Necrotizing Fasciitis ◽

Abdominal Wall ◽

Soft Tissue Infection ◽

Anterior Abdominal Wall ◽

Rare Complication ◽

Tissue Infection ◽

Diagnostic Process ◽

Epigastric Hernia ◽

High Index Of Suspicion

Necrotizing soft tissue infection (NSTI) is an aggressive and rapidly spreading soft tissue infection that could be associated with high mortality. Early diagnosis can be challenging and so a high index of suspicion is needed. Bedside ultrasonography (USG) and computed tomography (CT) scan could be employed to aid in diagnosis. The objective of this report is to describe the diagnostic process in a resource challenged setting and review the literature. We present an elderly patient with necrotizing fasciitis of the anterior abdominal wall as a complication of neglected strangulated Richter’s epigastric hernia that resulted in mortality.

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