Necrotizing Fasciitis : Diagnostic Challenges in a Mute Bedridden Patient with Atypical Laboratory Parameters
Joint Authors
Lohiya, Sunita
Krishna, Vijay
Tan-Figueroa, Lilia
Lohiya, Ghan-Shyam
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-04
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
A 27-year-old mute bedridden patient required parenteral corticosteroids and antibiotics, and hospitalization for an acute respiratory illness.
After 2 days, staff noted a ~0.3 cm blister on the patient’s right heel.
Within 19 hours, blistering increased and the foot became partly gangrenous.
The patient developed high fever (40.3°C), and leukocytosis (count: 13×109/L; was 6.5×109/L ten days earlier).
Necrotizing fasciitis (NF) was diagnosed and treated with emergency leg amputation.
Histopathology revealed necrosis of fascia, muscle, subcutaneous tissue, and skin.
In bedridden patients, corticosteroids may particularly facilitate serious infections, and initial NF blistering may be mistaken for pressure ulcers.
Vigilant and frequent whole body monitoring is necessary for all patients incapable of verbalizing their symptoms.
American Psychological Association (APA)
Lohiya, Ghan-Shyam& Tan-Figueroa, Lilia& Krishna, Vijay& Lohiya, Sunita. 2012. Necrotizing Fasciitis : Diagnostic Challenges in a Mute Bedridden Patient with Atypical Laboratory Parameters. Case Reports in Medicine،Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-457705
Modern Language Association (MLA)
Lohiya, Ghan-Shyam…[et al.]. Necrotizing Fasciitis : Diagnostic Challenges in a Mute Bedridden Patient with Atypical Laboratory Parameters. Case Reports in Medicine No. 2012 (2012), pp.1-4.
https://search.emarefa.net/detail/BIM-457705
American Medical Association (AMA)
Lohiya, Ghan-Shyam& Tan-Figueroa, Lilia& Krishna, Vijay& Lohiya, Sunita. Necrotizing Fasciitis : Diagnostic Challenges in a Mute Bedridden Patient with Atypical Laboratory Parameters. Case Reports in Medicine. 2012. Vol. 2012, no. 2012, pp.1-4.
https://search.emarefa.net/detail/BIM-457705
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-457705