ARDS following flexor sheath infection: a case report

ARDS following flexor sheath infection: a case report Eur J Plast Surg (2012) 35:193–194 DOI 10.1007/s00238-010-0516-3 CASE REPORT Katy Edmonds & Caty Milroy Received: 26 July 2010 /Accepted: 18 September 2010 /Published online: 30 September 2010 Springer-Verlag 2010 Background weaning oxygen. Blood gases showed PO of 16 on 5 L O . 2 2 Examination of chest showed bilateral mid and lower zone In a plastic surgery setting, adult respiratory distress crepitations. Chest X-ray showed extensive bilateral diffuse syndrome (ARDS) is most commonly seen in a major opacification (Fig. 1). burns setting. ARDS is associated with 40% [1, 2] The patient was diagnosed with ARDS and transferred to mortality. The aetiology of ARDS varies but there are few high dependency unit (HDU) for continuous positive reports secondary to group A Streptococcus [1, 3]. airway pressure ventilation. His respiratory condition We present a case of a 30-year-old male who presented slowly improved. The hand remained clean and the wound with a finger infected with group A Streptococcus and was directly closed a week later. subsequently developed ARDS secondary to this infection. Conclusion Case report Early identification of ARDS, and awareness of it occurring A 30-year-old right-hand-dominant male was admitted to the secondary to group A streptococcal infections, allowed European Journal of Plastic Surgery Springer Journals

ARDS following flexor sheath infection: a case report

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Copyright © 2012 by Springer-Verlag
Medicine & Public Health; Plastic Surgery
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