Necrotizing fasciitis following therapeutic injection in a shoulder joint

作者: F. Unglaub , T. Guehring , P. C. Fuchs , A. Perez-Bouza , A. Groger

DOI: 10.1007/S00132-005-0766-0

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摘要: Necrotizing fasciitis is an inflammatory, rapidly progressive soft tissue infection usually caused by Streptococcus pyogenes or a combination of aerobic and anaerobic microorganisms. Here we report the case patient who developed necrotizing near site therapeutic injections. An orthopaedic surgeon in private practice had given 74-year-old patient, suffered from left shoulder pain, cortisone injections his joint. During course this therapy, fasciitis. Despite radical surgical debridement patient's back, thorax amputation arm, expired 15 h after arriving at our department. In cases such as these, survival depends upon early diagnosis followed immediate intervention including complete opening fascial compartments excision necrotic tissues.

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