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Necrotizing fasciitis-A catastrophic complication following routine tibia fracture surgery: A case report and literature review.

Abstract Necrotizing fasciitis (NF) is defined as a rare, life-threatening, rapidly spreading soft tissue infection resulting from a polymicrobial origin, with a predominance of anaerobic organisms that presents with necrosis of the muscle, fascia, and surrounding soft tissue.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28591027
OWN - NLM
STAT- MEDLINE
DA  - 20170607
DCOM- 20170706
LR  - 20170706
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 23
DP  - 2017 Jun
TI  - Necrotizing fasciitis-A catastrophic complication following routine tibia
      fracture surgery: A case report and literature review.
PG  - e6908
LID - 10.1097/MD.0000000000006908 [doi]
AB  - RATIONALE: Necrotizing fasciitis (NF) is defined as a rare, life-threatening,
      rapidly spreading soft tissue infection resulting from a polymicrobial origin,
      with a predominance of anaerobic organisms that presents with necrosis of the
      muscle, fascia, and surrounding soft tissue. PATIENT CONCERNS AND DIAGNOSES: A
      64-year-old male who sustained tibia fracture caused by falling from a height
      underwent a tibia surgery with minimally invasive plate osteosynthesis technique 
      in another institution. Postoperatively, the patient had development of a very
      uncommon NF at the site of the tibia procedure. When the patient was transferred 
      to our unit, he rapidly processed to toxic shock and coagulopathy. INTERVENTIONS 
      AND OUTCOMES: Although the patient underwent antibiotics treatment in the
      emergency room and was transferred to the operating room for surgery promptly,
      the patient's condition deteriorated rapidly and he died of septic shock and
      multiple organ failure unfortunately. LESSONS: Our study aims to highlight the
      risk of NF in the elderly with diabetes during the perioperative period even if
      the injury is a simple closed fracture. Physicians must be vigilant to early
      inflammatory signs and pain in immunosuppressed patients.
FAU - Shang, Shuai
AU  - Shang S
AD  - Department of Orthopaedic Surgery, Third Hospital of Hebei Medical University,
      Shijiazhuang, Hebei, China.
FAU - Zhang, Ruipeng
AU  - Zhang R
FAU - Hou, Zhiyong
AU  - Hou Z
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Diabetes Complications/diagnostic imaging/pathology
MH  - Fasciitis, Necrotizing/*complications/diagnostic imaging/pathology
MH  - Fatal Outcome
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Multiple Organ Failure/etiology
MH  - Shock, Septic/etiology
MH  - Staphylococcal Infections/*complications/diagnostic imaging/pathology
MH  - Tibia/diagnostic imaging/pathology/surgery
MH  - Tibial Fractures/diagnostic imaging/pathology/*surgery
PMC - PMC5466205
EDAT- 2017/06/08 06:00
MHDA- 2017/07/07 06:00
CRDT- 2017/06/08 06:00
AID - 10.1097/MD.0000000000006908 [doi]
AID - 00005792-201706090-00003 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jun;96(23):e6908. doi: 10.1097/MD.0000000000006908.