Necrotizing Fasciitis of the Lower Extremity Caused by Serratia marcescens

2016 ◽  
Vol 106 (2) ◽  
pp. 144-146 ◽  
Author(s):  
Evelyn G. Heigh ◽  
April Maletta-Bailey ◽  
John Haight ◽  
Gregg S. Landis

Necrotizing fasciitis is a rare and potentially fatal infection, with mortality of up to 30%. This case report describes a patient recovering from a laryngectomy for laryngeal squamous cell cancer who developed nosocomial necrotizing fasciitis of the lower extremity due to Serratia marcescens. Only eight cases of necrotizing fasciitis exclusive to the lower extremity due to S marcescens have been previously reported. Patients with S marcescens necrotizing fasciitis of the lower extremity often have multiple comorbidities, are frequently immunosuppressed, and have a strikingly high mortality rate.

2014 ◽  
Vol 128 (3) ◽  
pp. 299-301 ◽  
Author(s):  
T Pézier ◽  
B Schuknecht ◽  
S Schmid ◽  
G Huber

AbstractBackground:Acute respiratory decompensation can occur on a background of slowly progressive airway compromise, for example in laryngeal squamous cell cancer. Surgeons in ENT, together with anaesthetists, are often asked to evaluate airway risk and as yet there is no widely adopted standardised approach.Case report:This paper reports the case of an 82-year-old male, who presented with acute airway compromise due to both endolaryngeal obstruction from a squamous cell cancer and extralaryngeal compression from massive subcutaneous emphysema.Results:Primary total laryngectomy was performed, but the patient declined adjuvant radiotherapy. He died a year later from a heart attack without evidence of recurrence.Conclusion:To the best of our knowledge, this is the first case report of acute airway compromise from extralaryngeal subcutaneous emphysema secondary to laryngeal cancer. Options for acute airway management are discussed.


We report a very rare case of squamous cell cancer of the right foot which had metastasize to the ipsilateral popliteal lymph node after initial diagnosis and treatment for the loco-regional disease.


Author(s):  
Daniel Mathies ◽  
Tsuneo Oyama ◽  
Ingo Steinbrück ◽  
Franz Ludwig Dumoulin

Abstract Background Endoscopic resection is the treatment of choice for early esophageal cancers. However, resections comprising more than 70–80 % of the circumference are associated with a high risk of stricture formation. Currently, repetitive local injections and/or systemic steroids are given for prevention. Case report We present here the case of a 78-year-old male patient who had a near circumferential endoscopic submucosal dissection for a pT1a mm, L0, V0, R0, G2 esophageal squamous cell cancer. At the end of endoscopic resection, 80 mg of triamcinolone was injected locally. The patient was then treated with oro-dispersible budesonide tablets (2 × 1 mg/day) and nystatin (4 × 100 000 I.E.) for 8 weeks. This treatment resulted in complete healing without any stricture formation and did not result in any complications. Discussion Treatment with orodispersible budesonide tablets could help prevent strictures after large endoscopic resections in the esophagus.


2020 ◽  
Vol 24 (12) ◽  
pp. 6781-6795
Author(s):  
Xin Wang ◽  
Boyu Yu ◽  
Qianqian Jin ◽  
Junyi Zhang ◽  
Bingrui Yan ◽  
...  

Oncotarget ◽  
2016 ◽  
Vol 7 (10) ◽  
pp. 11553-11566 ◽  
Author(s):  
Tianyi Wu ◽  
Lingmei Qu ◽  
Guoqing He ◽  
Linli Tian ◽  
Liang Li ◽  
...  

2011 ◽  
Vol 145 (2_suppl) ◽  
pp. P81-P81
Author(s):  
Josena K. Stephen ◽  
Lu Mei ◽  
Shaleta Harvard ◽  
Glendon M. Gardner ◽  
Kang-Mei Chen ◽  
...  

1997 ◽  
Vol 254 (S1) ◽  
pp. S133-S137 ◽  
Author(s):  
W. Golusinski ◽  
J. Olofsson ◽  
Z. Szmeja ◽  
K. Szyfter ◽  
W. Szyfter ◽  
...  

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