Fulminant necrotizing fasciitis to the hand in a patient on high-dose steroids: A case report of successful limb salvage.
Journal
Journal of surgical case reports
ISSN: 2042-8812
Titre abrégé: J Surg Case Rep
Pays: England
ID NLM: 101560169
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
23
07
2020
accepted:
17
08
2020
entrez:
30
9
2020
pubmed:
1
10
2020
medline:
1
10
2020
Statut:
epublish
Résumé
Glucocorticoids are commonly used in the management of patients with brain Tumour for reducing peritumoral and vasogenic edema. However, they may lead to development of limb and life-threatening conditions such as necrotizing fasciitis (NF). NF is a rare but potentially lethal condition. Early detection and aggressive treatment may lead to decreased mortality and limb salvage. The diagnosis is predominately clinical but may be supported by laboratory and radiological investigations. Chronic steroid use not only predisposes to the development of NF but also may mask early features delaying presentation and diagnosis. Clinicians should have a high index of suspicion especially in patients on chronic steroid therapy as this may aid in early detection and treatment. We present a case report of a successful limb salvage that exemplifies these points.
Identifiants
pubmed: 32994923
doi: 10.1093/jscr/rjaa372
pii: rjaa372
pmc: PMC7509890
doi:
Types de publication
Case Reports
Langues
eng
Pagination
rjaa372Informations de copyright
Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2020.
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