Review of necrotising fasciitis of Pfannenstiel incision with a case report

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.

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A case of gonococcal necrotising fasciitis

Sexual Health ◽

10.1071/sh14027 ◽

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.

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

Orbit ◽

10.1080/01676830.2019.1606834 ◽

2019 ◽

Vol 39 (2) ◽

pp. 143-146

Author(s):

Chloe FT Ting ◽

Jonathan Lam ◽

Con Anastas

Keyword(s):

Case Report ◽

Necrotising Fasciitis

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

Journal of Medical Case Reports ◽

10.1186/1752-1947-2-368 ◽

2008 ◽

Vol 2 (1) ◽

Cited By ~ 5

Author(s):

Asad Islam ◽

Michael Oko

Keyword(s):

Case Report ◽

Necrotising Fasciitis ◽

Descending Mediastinitis

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

Journal of Orthopaedic Surgery ◽

10.1177/230949900901700222 ◽

2009 ◽

Vol 17 (2) ◽

pp. 223-226 ◽

Cited By ~ 4

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.

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Case Report: Necrotising Fasciitis with Epidural Abscess

Hong Kong Journal of Emergency Medicine ◽

10.1177/102490790301000110 ◽

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.

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