scholarly journals The relevance of a fast and early diagnosis of necrotizing fasciitis in the Emergency Department: a case report

2016 ◽  
Vol 10 ◽  
Author(s):  
Marianna Gregorio ◽  
Antonio Villa
Keyword(s):  
Diabetes Mellitus ◽  
Emergency Department ◽  
Case Report ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Multiorgan Failure ◽  
Left Thigh ◽  
Popliteal Fossa ◽  
Leg Pain ◽  
Movement Limitation

We report a case of necrotizing fasciitis in an 84 year-old man affected by diabetes mellitus. The patient was admitted in the Emergency Department of our hospital because of an acute and strong left leg pain that began almost 8 hours before admission. The left leg had an increased size and a movement limitation, with a hard haemathoma in the left thigh with subcutaneous crepitus. The lesion became worse and larger rapidly, with a wide extension from the back to the popliteal fossa. An antimicrobial therapy was immediately started with morphine for pain. A surgical debridment was performed, but the patient died for multiorgan failure. Necrotizing fasciitis is a rare and mortal disease, the early diagnosis is a challenge for the Emergency Department where patients are admitted and assessed primarly.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

An Unusual Case of Pelvic Appendicitis

PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 292-293
Author(s):  
Michael A. LaCombe
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Early Diagnosis ◽  
Unusual Case ◽  
Signs And Symptoms ◽  
Memorial Hospital ◽  
Pubic Bone ◽  
Bowel Habit ◽  
Gross Hematuria ◽  
Misleading Interpretation

The atypical signs and symptoms, the misleading interpretation of symptoms by the patient's family, and the remarkable radiograph in the following case emphasize the difficulty in early diagnosis of pelvic appendicitis. CASE REPORT A 10-year-old boy came to the Emergency Department of Community Memorial Hospital, Toms River, New Jersey, complaining of pain in the pubic bone of four hours' duration. His mother thought he might have fallen on the cross-bar of his bike and was concerned about a possible fracture of the pelvis. The boy denied any nausea, vomiting, anorexia, or change in bowel habit and had no pain elsewhere. He had noticed no gross hematuria.

Magnetic Resonance Imaging in the Early Diagnosis of Group A β Streptococcal Necrotizing Fasciitis: A Case Report

1998 ◽  
Vol 16 (3) ◽  
pp. 403-407 ◽  
Author(s):  
David B Drake ◽  
Julia A Woods ◽  
Timothy J Bill ◽  
Bradley W Kesser ◽  
Mark A Wenger ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Case Report ◽  
Magnetic Resonance ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Resonance Imaging ◽  
Group A

Limb Salvage in a Diabetic with Necrotizing Fasciitis: Case Report and Literature Review

Foot & Ankle ◽  
1986 ◽  
Vol 6 (4) ◽  
pp. 199-207
Author(s):  
Steven B. Carlow ◽  
Richard L. Jacobs ◽  
Danica K. Vedder
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Early Diagnosis ◽  
Literature Review ◽  
Necrotizing Fasciitis ◽  
Limb Salvage ◽  
Clinical Signs ◽  
Tissue Biopsy ◽  
Functional Limb

Necrotizing fasciitis must be considered in a diabetic with cutaneous ulceration. A case report of limb salvage in a 48-year-old diabetic female with progressive necrotizing fasciitis is presented. Methods of early diagnosis including clinical signs, radiographs, and soft tissue biopsy of the involved extremity are reviewed. The microbiology of the disease is also discussed. A modification of the Orr technique using infrequent dressing changes in the management of necrotizing fasciitis is presented. In our case this resulted in preservation of life and a functional limb.

scholarly journals A rare case of isolated gall bladder perforation in blunt trauma abdomen: a case report

2020 ◽  
Vol 8 (2) ◽  
pp. 754
Author(s):  
Omesh K. Meena ◽  
Monish Raj
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Early Diagnosis ◽  
Gall Bladder ◽  
Blunt Trauma ◽  
Rare Case ◽  
Clinical Presentation ◽  
Rare Event ◽  
Gallbladder Perforation ◽  
New Delhi

Blunt trauma abdomen leading to gallbladder perforation is a rare event usually recognized on evaluation and treatment of other visceral injuries during laparotomy. The gallbladder is relatively a well-protected organ. Isolated gallbladder perforation is extremely rare. The clinical presentation is variable, early diagnosis and treatment is of extreme importance to reduce morbidity and mortality associated with gallbladder perforation. We report a case of a patient who sustained isolated gallbladder injury following blunt trauma abdomen to emergency department in Safdarjung Hospital, New Delhi.

scholarly journals Adjunctive treatment of leptospirosis with corticosteroids

2020 ◽  
Vol 39 (2) ◽  
pp. 50-53
Author(s):  
Božana Miklaušić Pavić
Keyword(s):  
Case Report ◽  
Mortality Rate ◽  
Early Diagnosis ◽  
Multiorgan Failure ◽  
Severe Disease ◽  
Severe Form ◽  
Adjunctive Treatment ◽  
Early Application ◽  
Leptospira Spp ◽  
Duration Of Hospitalization

Leptospirosis is one of the most globally widespread zoonosis caused by pathogenic spirochetes from genus Leptospira spp. Icteric leptospirosis is a severe form of the disease which affects 5-15% of patients with leptospirosis, is often rapidly progressive and has a high mortality rate. Early diagnosis of leptospirosis is crucial for initiation of adequate antimicrobial therapy in order to prevent the advent of complications and reduce mortality. Literature offers an increasing amount of evidence that early application of corticosteroids affects the course of the disease, prevents the onset of multiorgan failure, reduces mortality and reduces the duration of hospitalization. This paper is a case report of a patient with severe icteric leptospirosis who was treated with antimicrobial and corticosteroid therapy. The patient recovered fully, with no remaining morbidity after the severe disease.

scholarly journals Post-traumatic occipital psoriatic plaque complicated by extensive necrotizing fasciitis of the head and neck: a case report and literature review

2018 ◽  
Vol 46 (8) ◽  
pp. 3480-3486 ◽  
Author(s):  
Paul Andrei Ţenţ ◽  
Mihai Juncar ◽  
Ovidiu Mureșan ◽  
Oana Cristina Arghir ◽  
Dan Marcel Iliescu ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Rare Case ◽  
Severe Infection ◽  
Cellular Tissue ◽  
Cervical Region ◽  
Psoriatic Plaque ◽  
Post Traumatic

Necrotizing fasciitis (NF) is a severe infection involving the superficial fascial layers, subcutaneous cellular tissue, and possibly skin. It usually has a fulminant evolution, rapidly leading to death in the absence of early diagnosis and aggressive surgical treatment. We herein report a rare case of NF secondary to a traumatized occipital psoriatic plaque in an alcoholic 47-year-old woman and compare this case with the published literature. The NF extended to the entire scalp, right face, and posterior and lateral cervical region. Despite the initially guarded prognosis, the patient’s survival emphasizes the importance of aggressive surgical treatment with wide excision of all necrotic structures without any aesthetic compromise.

scholarly journals Diabetic Muscle Infarction: A Rare Complication of Long-Standing and Poorly Controlled Diabetes Mellitus

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Shridhar N. Iyer ◽  
Almond J. Drake ◽  
R. Lee West ◽  
Robert J. Tanenberg
Keyword(s):  
Diabetes Mellitus ◽  
Necrotizing Fasciitis ◽  
Rare Complication ◽  
Microvascular Complications ◽  
Final Diagnosis ◽  
Sudden Onset ◽  
Left Thigh ◽  
Coagulation Necrosis ◽  
Presumptive Diagnosis ◽  
Muscle Infarction

Objective. To report a case of diabetic muscle infarction (DMI), a rare complication of long-standing poorly controlled diabetes mellitus.Methods. We describe a case of a 45-year-old male with an approximately 8-year history of poorly controlled type 2 diabetes mellitus with multiple microvascular complications who presented with the sudden onset of left thigh pain and swelling. He had a swollen left thigh and a CK of 1670 U/L. He was initially treated with intravenous antibiotics for a presumptive diagnosis of pyomyositis or necrotizing fasciitis with no improvement. A diagnosis of diabetic muscle infarction was considered.Results. An MRI of the thigh demonstrated diffuse edema in the anterior compartment. A muscle biopsy demonstrated coagulation necrosis in skeletal muscle and inflammation and infarction in the walls of small blood vessels. These studies confirmed the final diagnosis of DMI. He was treated with supportive care and gradually improved.Conclusion. DMI is a rare complication of diabetes that is often mistaken for infections such as pyomyositis and necrotizing fasciitis or thrombophlebitis. Treatment is supportive. Although the short-term prognosis is good in these patients, the long-term prognosis is poor.

scholarly journals Jejunogastric Intussusception: A Case Report

2012 ◽  
Vol 30 (1) ◽  
pp. 44-47 ◽  
Author(s):  
MM Hussain ◽  
A Rahman ◽  
MR Abedin ◽  
MA Habib
Keyword(s):  
Emergency Department ◽  
Abdominal Pain ◽  
Case Report ◽  
Early Diagnosis ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
Prompt Treatment ◽  
Jejunogastric Intussusception ◽  
Acute Form

Jejunogastric intussusception is an established complication following any type of gastroenterostomy. In its acute form it presents with abdominal pain and lump suggestive of obstruction. It is also a rare cause of haematemesis. Chronic and intermittent presentation has also been described. It is a surgical emergency in its acute form. Early diagnosis and prompt treatment is required to avoid mortality. We report here a case that had a history suggestive of recurrent symptoms and ultimately presented as an acute emergency in the emergency department of Dhaka Medical College Hospital, Dhaka, Bangladesh   DOI: http://dx.doi.org/10.3329/jbcps.v30i1.11366   J Bangladesh Coll Phys Surg 2012; 30: 44-47  

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