1.Internal jugular vein thrombosis with serious cervical necrotizing fasciitis: a case report.
Shujun CHEN ; Yuxuan CHEN ; Linwei ZHAO ; Chao CUI
West China Journal of Stomatology 2016;34(2):215-217
Cervical necrotizing fasciitis (CNF) is an aggressive infection associated with high mortality. Various complications have been described in previous literature. However, internal jugular vein thrombosis is rare in such lesions. We presented a case of internal jugular vein thrombosis caused by CNF and analyzed related literature.
Fasciitis, Necrotizing
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complications
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Humans
;
Jugular Veins
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Neck
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Venous Thrombosis
;
etiology
3.Necrotizing fasciitis following varicella in a child.
Chinese Medical Journal 2012;125(5):951-953
Varicella is a self-limited disease, but sometimes it may be associated with some serious life-threatening complications.Necrotizing fasciitis is a rare complication of varicella. This is a case of a 7-year-old girl with septic shock caused by necrotizing fasciitis as a complication of varicella. Swelling and pain in the left inguinal region and left axillary region were found five days after varicella. Then a high fever occurred followed by hypotension. Fluid infusion, vasopressor and antibiotics were administered. Group A beta-hemolytic Streptococcus was isolated from exudates from the wounds. The clinical symptoms markedly improved after surgical drainage and removal of the necrotic tissue. Both wounds were covered with skin grafts after healthy granulation tissue formed. Although there have been few reports of life-threatening necrotizing fasciitis following varicella in western countries, it is rare in China. Usually patients with varicella were admitted to pediatric or infectious disease department but not surgical departments; so that the clinicians should be aware that varicella may be complicated by life-threatening surgical infections. Necrotizing fasciitis should be suspected in patients of varicella who showed an increasing pain and swelling in any body areas associated with increasing fever and local erythema. Early identification, surgical drainage and debridement are essential for successful treatment of necrotizing fasciitis.
Chickenpox
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complications
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Child
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Fasciitis, Necrotizing
;
diagnosis
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drug therapy
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etiology
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Female
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Humans
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Shock, Septic
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diagnosis
;
drug therapy
;
etiology
4.Imaging Findings of Liposuction with an Emphasis on Postsurgical Complications.
Je Sung YOU ; Yong Eun CHUNG ; Song Ee BAEK ; Sung Phil CHUNG ; Myeong Jin KIM
Korean Journal of Radiology 2015;16(6):1197-1206
Liposuction is one of the most frequently performed cosmetic surgeries worldwide for reshaping the body contour. Although liposuction is minimally invasive and relatively safe, it is a surgical procedure, and it carries the risk of major and minor complications. These complications vary from postoperative nausea to life-threatening events. Common complications include infection, abdominal wall injury, bowel herniation, bleeding, haematoma, seroma, and lymphoedema. Life-threatening complications such as necrotizing fasciitis, deep vein thrombosis, and pulmonary embolism have also been reported. In this paper, we provide a brief introduction to liposuction with the related anatomy and present computed tomography and ultrasonography findings of a wide spectrum of postoperative complications associated with liposuction.
Abdomen/ultrasonography
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Fasciitis, Necrotizing/etiology
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Hematoma/etiology
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Humans
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Lipectomy/*adverse effects
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Postoperative Complications/*etiology
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Pulmonary Embolism/etiology
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Tomography, X-Ray Computed
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Venous Thrombosis/etiology
5.Coagulase-Positive Staphylococcal Necrotizing Fasciitis Subsequent to Shoulder Sprain in a Healthy Woman.
Hyeung June KIM ; Dong Heon KIM ; Duk Hwan KO
Clinics in Orthopedic Surgery 2010;2(4):256-259
Necrotizing fasciitis (NF) is a deep infection of the subcutaneous tissue that progressively destroys fascia and fat; it is associated with systemic toxicity, a fulminant course, and high mortality. NF most frequently develops from trauma that compromises skin integrity, and is more common in patients with predisposing medical conditions such as diabetes mellitus, atherosclerosis, alcoholism, renal disease, liver disease, immunosuppression, malignancy, or corticosteroid use. Most often, NF is caused by polymicrobial pathogens including aerobic and anaerobic bacteria. NF caused by Staphylococcus aureus as a single pathogen, however, is rare. Here we report a case of NF that developed in a healthy woman after an isolated shoulder sprain that occurred without breaking a skin barrier, and was caused by Staphylococcus aureus as a single pathogen.
*Arm
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Coagulase/metabolism
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Fasciitis, Necrotizing/*etiology/microbiology/pathology/surgery
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Female
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Humans
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Middle Aged
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Shoulder Joint/*injuries
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Sprains and Strains/*complications
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Staphylococcal Infections/*etiology/microbiology
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Staphylococcus aureus/enzymology/isolation & purification
6.Bullae and Sweat Gland Necrosis in the Differential Diagnosis for Vibrio vulnificus Infection in an Alcoholic Patient.
Gun Wook KIM ; Hyun Je PARK ; Hoon Soo KIM ; Su Han KIM ; Hyun Chang KO ; Moon Bum KIM ; Byung Soo KIM
Journal of Korean Medical Science 2011;26(3):450-453
Bullae and sweat gland necrosis remain rare cutaneous manifestation, and these conditions can be misdiagnosed as Vibrio vulnificus infections or other soft tissue infections because of their low index of suspicion. A 46-yr-old man with a history of continued alcohol consumption presented with erythematous and hemorrhagic bullous lesions on his left arm. The patient reported that after the ingestion of clams, he slept for 12 hr in a heavily intoxicated state. Then the skin lesions started as a reddish patch that subsequently became hemorrhagic bullae. V. vulnificus infection, cellulitis, and necrotizing fasciitis were considered in initial differential diagnosis. However, on the basis of sweat gland necrosis on histopathologic examinations and negative results on bacterial cultures, we made the diagnosis of bullae and sweat gland necrosis. Therefore, bullae and sweat gland necrosis should also be considered in chronic alcoholic patients who present with bullae and a previous history of unconsciousness.
*Alcoholic Intoxication/etiology
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Alcoholism/diagnosis
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Blister/complications/*diagnosis
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Cellulitis/diagnosis
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Diagnosis, Differential
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Fasciitis, Necrotizing/diagnosis
;
Humans
;
Male
;
Middle Aged
;
Necrosis/complications/diagnosis
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Sweat Gland Diseases/complications/*diagnosis
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Vibrio Infections/diagnosis