scholarly journals Necrotizing Fasciitis by Two Anaerobic Bacteria in an Immunocompetent Patient after Minor Trauma: A Case Report

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Marco Sciarra ◽  
Andrea Schimmenti ◽  
Tommaso Manciulli ◽  
Cristina Sarda ◽  
Marco Mussa ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Rare Case ◽  
Subcutaneous Tissue ◽  
Anaerobic Bacteria ◽  
Immunocompetent Patient ◽  
Minor Trauma ◽  
Group A Streptococci ◽  
Group A

Necrotizing fasciitis (NF) is a soft tissue infection affecting subcutaneous tissue and the muscular fascia without involvement of the muscle and can be either monomicrobial or polymicrobial. Monomicrobial infections are usually caused by group A streptococci, while infections caused by anaerobic germs usually affect immunodepressed patients. We report a rare case of NF caused by two anaerobic bacteria in an immunocompetent patient.

scholarly journals Anaesthetic Management of a Patient with Necrotizing Fasciitis: A Case Report

2021 ◽  
Vol 6 (3) ◽  
pp. 31-34
Author(s):  
Shallu Chaudhary ◽  
Major Amit Atwal
Keyword(s):  
Mechanical Ventilation ◽  
Severe Sepsis ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Tissue Injury ◽  
Subcutaneous Tissue ◽  
Soft Tissue Injury ◽  
Anaesthetic Management ◽  
Left Shoulder

Necrotizing fasciitis is a highly lethal bacterial infection of subcutaneous tissue and fascia. 77 year old male patient, smoker with necrotizing fasciitis underwent surgery:- left shoulder disarticulation in emergency OT under general anesthesia. Intraoperatively, the patient went into severe sepsis and developed arrythmias and hypotension which was managed with anti-arrythmic drugs and infusion norepinephrine. The patient responded to the treatment and the surgery was completed. Postoperatively mechanical ventilation was continued and subsequently the patient improved and was extubated 3 days later. Keywords: Necrotizing fasciitis, necrotizing acute soft tissue injury, NASTI.

scholarly journals Necrotizing Fasciitis of The Abdominal Wall Following Colonoscopy with Fatal Outcome - A Case Report

2019 ◽  
pp. 1-3
Author(s):  
Daniel Matz ◽  
Oleg Heizmann
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Group A Streptococcus ◽  
Subcutaneous Tissue ◽  
Fatal Outcome ◽  
Anaerobic Bacteria ◽  
Tissue Infection ◽  
Life Threatening ◽  
Staphylococcus Spp

Necrotizing fasciitis (NF) is a serious and potentially life threatening soft tissue infection, usually caused by different types of bacteria such as group A streptococcus, staphylococcus spp. (type 1 infection) or mixed infection by aerobic and anaerobic bacteria (type 2 infection). Usually, the infection arises from skin injury, in injections or surgical procedures and effects the fascia as well as the subcutaneous tissue. Overwhelming progression and difficulties in diagnosing are very common. Mortality rate is up to 100% depending on the type of soft tissue infection and did not markedly decrease in the past decades [1]. Here we present a case of NF with fatal outcome following colonoscopy, which was primarily suspected to be a post polypectomy syndrome.

A Very Rare Case of Necrotizing Fasciitis Caused by Metallosis

2021 ◽  
pp. 153473462110094
Author(s):  
Dun-Wei Huang ◽  
Nien-Tzu Liu ◽  
Hung-Hui Liu ◽  
Niann-Tzyy Dai ◽  
Shyi-Gen Chen ◽  
...  
Keyword(s):  
Necrotizing Fasciitis ◽  
Rare Case ◽  
Soft Tissues ◽  
Group A Streptococcus ◽  
Anaerobic Bacteria ◽  
Metal Debris ◽  
Joint Replacement Surgery ◽  
Replacement Surgery ◽  
Group A ◽  
The Right

Necrotizing fasciitis is a surgically diagnosed infection of the deep soft tissues that results in high mortality. It is usually caused by aerobic and anaerobic bacteria and group A Streptococcus. Metallosis is characterized by the deposition of metal debris in the blood that causes metal poisoning and tissue damage. The abrasion of metal components that occurs after joint replacements causes metallosis, which may lead to severe complications. We report a rare case of metallosis-induced necrotizing fasciitis of the right thigh. Metallosis should be considered as a cause of necrotizing fasciitis if the patient has had a joint replacement surgery.

Skin and soft tissue infections

2016 ◽  
Author(s):  
M. Estée Török ◽  
Fiona J. Cooke ◽  
Ed Moran
Keyword(s):  
Staphylococcus Aureus ◽  
Soft Tissue ◽  
Subcutaneous Tissue ◽  
Hair Follicles ◽  
Soft Tissue Infections ◽  
Group A Streptococci ◽  
Lymphatic Involvement ◽  
Group A

This chapter covers impetigo (with lesions commonly affecting children in tropical and subtropical regions), folliculitis affecting hair follicles, cutaneous abscesses involving collections of pus within the dermis and deeper skin structures, furuncles (boils which are deep inflammatory nodules), carbuncles (which are deeper lesions), ecthyma (punched-out ulcers caused by Staphylococcus aureus or group A streptococci), erysipelas with lymphatic involvement, and cellulitis which extends into the subcutaneous tissue.

Necrotizing fasciitis after peritonsillar abscess in an immunocompetent patient

1999 ◽  
Vol 113 (8) ◽  
pp. 759-761 ◽  
Author(s):  
Neven Skitarelić ◽  
Ranko Mladina ◽  
Zlatko Matulić ◽  
Maruan Kovačić
Keyword(s):  
Necrotizing Fasciitis ◽  
Toxic Shock Syndrome ◽  
Anaerobic Bacteria ◽  
Intravenous Immunoglobulins ◽  
Immunocompetent Patient ◽  
Peritonsillar Abscess ◽  
Facial Trauma ◽  
Review Of The Literature ◽  
Toxic Shock ◽  
Group A

AbstractCervical necrotizing fasciitis (CNF) is a rapidly progressive, severe bacterial infection of the fascial planes of the head and neck. Group A beta haemolytic Streptococcus spp. (GABHS), Staphylococcus spp., or obligatory anaerobic bacteria are the most common causative pathogens. The disease usually results from a dental source or facial trauma. Extensive fascial necrosis and severe systemic toxicity are common manifestations of CNF. Review of the literature reveals only seven such cases, with four successful outcomes.The authors present the case of a 50-year-old immunocompetent female with CNF arising from a peritonsillar abscess. Intravenous immunoglobulins in conjunction with surgery and antibotics were used successfully.The authors also suggest the importance of the early diagnosis, aggressive surgical debridement, broadspectrum antibiotics, and possible usefulness of the intravenous immunoglobulins in the treatment of CNF, especially when the disease is associated with toxic shock syndrome.

scholarly journals Necrotizing soft tissue infection at an uncommon site following tooth extraction

2019 ◽  
Vol 6 (12) ◽  
pp. 4557
Author(s):  
Raksha R. ◽  
Varsha S. ◽  
S. Rajagopalan
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Rare Case ◽  
Tooth Extraction ◽  
Subcutaneous Tissue ◽  
Tissue Infection ◽  
Lower Abdomen ◽  
Necrotizing Soft Tissue Infection ◽  
Progressive Necrosis

Necrotizing soft tissue infection (NSTI) is a disease characterized by rapidly progressive necrosis involving skin, subcutaneous tissue, fascia or muscle. It is commonly seen in extremities, perineum and lower abdomen. It is extremely uncommon for necrotizing fasciitis to occur along the chest wall, with only a few such cases being reported. We report one such rare case of NSTI in a 75 year old male who underwent left molar tooth extraction developed Ludwig’s angina which progressed to present as a painful swelling over the left side of the neck and chest with a necrotic patch of skin over manubrium sternum managed successfully.

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.

scholarly journals Solitary submandibular soft tissue osteochondroma: A rare case report

2021 ◽  
pp. 106074
Author(s):  
Abdulrahman Z. Nakshabandi ◽  
Ahamd F. Alomar ◽  
Moayad Baazeem ◽  
Abdulrahman Alosaimi ◽  
Ibrahim O. Bello
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Rare Case ◽  
Rare Case Report

scholarly journals Concurrent Pseudomonas Periorbital Necrotizing Fasciitis and Endophthalmitis: A Case Report and Literature Review

Pathogens ◽  
2021 ◽  
Vol 10 (7) ◽  
pp. 854
Author(s):  
Yu-Kuei Lee ◽  
Chun-Chieh Lai
Keyword(s):  
Soft Tissue ◽  
Literature Review ◽  
Necrotizing Fasciitis ◽  
Subcutaneous Tissue ◽  
Superficial Fascia ◽  
Upper Eyelid ◽  
Case Presentation ◽  
Phthisis Bulbi ◽  
Eyelid Swelling ◽  
The Rich

(1) Background: Necrotizing fasciitis (NF) is an infection involving the superficial fascia and subcutaneous tissue. Endophthalmitis is an infection within the ocular ball. Herein we report a rare case of concurrent periorbital NF and endophthalmitis, caused by Pseudomonas aeruginosa (PA). We also conducted a literature review related to periorbital PA skin and soft-tissue infections. (2) Case presentation: A 62-year-old male had left upper eyelid swelling and redness; orbital cellulitis was diagnosed. During eyelid debridement, NF with the involvement of the upper Müller’s muscle and levator muscle was noted. The infection soon progressed to scleral ulcers and endophthalmitis. The eye developed phthisis bulbi, despite treatment with intravitreal antibiotics. (3) Conclusions: Immunocompromised individuals are more likely than immunocompetent hosts to be infected by PA. Although periorbital NF is uncommon due to the rich blood supply in the area, the possibility of PA infection should be considered in concurrent periorbital soft-tissue infection and endophthalmitis.

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