A rare presentation of necrotising fasciitis and myositis with femoral head necrosis and gas in the femur

A rare presentation of necrotising fasciitis and myositis with femoral head necrosis and gas in... Necrotising fasciitis is a rapidly progressive, polymicrobial synergistic soft tissue infection that spreads along fascial planes beneath seemingly normal skin. The relatively benign appearance of the extremity is misleading and often results in delay in diagnosis and increased morbidity or death. Involvement of bone is not a recognised feature. Successful management requires early detection, radical surgical debridement and broad spectrum intravenous antibiotics. We report an unusual case of necrotising fasciitis in a 61-year-old male who presented with musculoskeletal symptoms and gas within the femoral head as well as surrounding soft tissues. This resulted in necrosis of the femoral head with the development of chronic osteomyelitis, requiring long-term antibiotics and ultimately proximal femoral excision. We describe a previously unreported presentation of this condition with musculoskeletal involvement and discuss the potential pitfalls in delayed diagnosis. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

A rare presentation of necrotising fasciitis and myositis with femoral head necrosis and gas in the femur

Loading next page...
 
/lp/springer_journal/a-rare-presentation-of-necrotising-fasciitis-and-myositis-with-femoral-xR9pesFsve
Publisher
Springer-Verlag
Copyright
Copyright © 2008 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-008-0221-7
Publisher site
See Article on Publisher Site

Abstract

Necrotising fasciitis is a rapidly progressive, polymicrobial synergistic soft tissue infection that spreads along fascial planes beneath seemingly normal skin. The relatively benign appearance of the extremity is misleading and often results in delay in diagnosis and increased morbidity or death. Involvement of bone is not a recognised feature. Successful management requires early detection, radical surgical debridement and broad spectrum intravenous antibiotics. We report an unusual case of necrotising fasciitis in a 61-year-old male who presented with musculoskeletal symptoms and gas within the femoral head as well as surrounding soft tissues. This resulted in necrosis of the femoral head with the development of chronic osteomyelitis, requiring long-term antibiotics and ultimately proximal femoral excision. We describe a previously unreported presentation of this condition with musculoskeletal involvement and discuss the potential pitfalls in delayed diagnosis.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jul 1, 2008

References

  • MR imaging in acute infectious cellulitis
    Rahmouni, A; Chosidow, O; Mathieu, D; Gueorguieva, E; Jazaerli, N; Radier, C

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 12 million articles from more than
10,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Unlimited reading

Read as many articles as you need. Full articles with original layout, charts and figures. Read online, from anywhere.

Stay up to date

Keep up with your field with Personalized Recommendations and Follow Journals to get automatic updates.

Organize your research

It’s easy to organize your research with our built-in tools.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve Freelancer

DeepDyve Pro

Price
FREE
$49/month

$360/year
Save searches from
Google Scholar,
PubMed
Create lists to
organize your research
Export lists, citations
Read DeepDyve articles
Abstract access only
Unlimited access to over
18 million full-text articles
Print
20 pages/month
PDF Discount
20% off