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

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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

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