Case of Necrotising Fasciitis in an Acute Medical Ward (AMU)
Article Sidebar
Main Article Content
Abstract
We report an unusual case of a 78 year old lady presenting with sepsis secondary to necrotising soft tissue infection of her right forearm which she had initially sustained when falling on her driveway and hitting her right arm.
First admission was in Acute Medical Unit (AMU) rather than Surgical ward. This was, in fact, an inappropriate referral that delayed for the emergency surgery. Eventually,She was managed in Intensive Care medicine (ICU)following her surgery with multiple complications during the recovery period and was discharged subsequently following clinical improvement.
Downloads
Article Details
Copyright (c) 2020 Lwin ZT, et al.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Faraklas I, Yang D, Eggerstedt M, Zhai Y, Liebel P, et al. (2016) A Multi-Center Review of Care Patterns and Outcomes in Necrotizing Soft Tissue Infections. Surg Infect 17: 773-778. Link: https://bit.ly/36sU2PZ
Wilson B (1952) Necrotizing fasciitis. Am Surg 416-431. Link: https://bit.ly/36pbRzr
Nelson GE, Pondo T, Toews KA, Farley MM, Lindegren ML, et al. (2016) Epidemiology of Invasive Group A Streptococcal Infections in the United States, 2005–2012. Clin Infect Dis 63: 478-486. Link: https://bit.ly/2LSUuxv
Yilmazlar T, Ozturk E, Alsoy A, Ozguc H, et al. (2007) Necrotizing soft tissue infections: APACHE II score, dissemination, and survival. World J Surg 31: 1858–1862. Link: https://bit.ly/2Zsgo2I
Miller AT, Saadai P, Greenstein A, Divino CM, et al. (2008) Postprocedural necrotizing fasciitis: A 10-year retrospective review. Am Surg 74: 405–409. Link: https://bit.ly/2A0l84T
Lee TC, Carrick MM, Scott BG, Hodges JC, Pham HQ (2007) Incidence and clinical characteristics of methicillin-resistant Staphylococcus aureus necrotizing fasciitis in a large urban hospital. Am J Surg 194: 809-812. Link: https://bit.ly/2LQ5Mm3
Hefny AF, Eid HO, Al Hussona M, Idris KM, Abu-Zidan FM (2007) Necrotizing fasciitis: A challenging diagnosis. Eur J EmergMed 14: 50–52. Link: https://bit.ly/2TMLhLN
Childers BJ, Potyondy LD, Nachreiner R, Rogers FR, Childers ER, et al. (2002) Necrotizing fasciitis: A fourteen-year retrospective study of 163 consecutive patients. Am Surg 68: 109-116. Link: https://bit.ly/2ywrPLO
Giuliano A, Lewis F, Hadley K, Blaisdell FW (1977) Bacteriology of necrotizing fasciitis. Am J Surg 134: 52–57. Link: https://bit.ly/2LODY1w
Sartor C, Limouzin-Perotti F, Legré R, Casanova D, Bongrand MC, et al. (2002) Nosocomial Infections with Aeromonas hydrophila from Leeches. Clin Infect Dis 35: E1-5. Link: https://bit.ly/2Zu0FjD