A Rare Case of Monomicrobial Necrotizing Fasciitis Associated With an Initial Acute Compartment Syndrome.


Journal

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
ISSN: 1542-2224
Titre abrégé: J Foot Ankle Surg
Pays: United States
ID NLM: 9308427

Informations de publication

Date de publication:
Historique:
received: 11 09 2020
revised: 22 02 2021
accepted: 11 08 2021
pubmed: 9 9 2021
medline: 12 1 2022
entrez: 8 9 2021
Statut: ppublish

Résumé

In this article we report a rare case of necrotizing fasciitis presenting with the possible initial symptom of compartment syndrome. After treatment with broad spectrum and targeted antibiotics in addition to multiple fasciotomies, surgical debridement, and grafts the patient went on to uneventful healing within 6 months. This case report highlights the possibility of a compartment syndrome as the only initial symptom of a monomicrobial necrotizing soft tissue infection. While multiple case reports have documented group A streptococcal cellulitis as initiating a later acute compartment syndrome, this is to our knowledge the first case in the foot and ankle of compartment syndrome as a possible early symptom of a group A streptococcal (monomicrobial) necrotizing fasciitis.

Identifiants

pubmed: 34493432
pii: S1067-2516(21)00294-5
doi: 10.1053/j.jfas.2021.08.005
pii:
doi:

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

195-198

Informations de copyright

Copyright © 2021 the American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Auteurs

P Tanner Shaffer (PT)

Resident Physician PGY2, Mercy Hospital & Medical Center, Chicago, IL. Electronic address: p.tanner.shaffer@gmail.com.

Jonathan Hook (J)

Assistant Residency Director at Mercy Hospital & Medical Center, Associate at Midland Orthopedics, Chicago, IL.

Benjamin Potter (B)

Benjamin Potter DPM, Resident Physician PGY3, Mercy Hospital & Medical Center, Chicago, IL.

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Classifications MeSH