Necrotizing fasciitis is a rapidly progressive invasive soft tissue infection that is rarely seen in craniocervical area. In the majority of cases described in the medical literature, there has been an identifiable initiating event such as instrumentation or other trauma to the skin. Because of the rapid progression of the infection, the key to a successful outcome is early recognition and rapid initiation of definitive surgical management. A case is presented in which necrotizing fasciitis was seen in a craniocervical area with instrumentation especially dental extraction.
Fasciitis, Necrotizing* ; Skin ; Soft Tissue Infections

No abstract available.
Immunocompromised Host* ; Mycoplasma hominis* ; Mycoplasma* ; Skin* ; Soft Tissue Infections*

Mycobacterium abscessus is a rapidly-growing bacterium which spreads everywhere in the natural world. Lung infection is the most common infection that it causes, but skin and soft tissue infections can occur after injections, operations, or other trauma. We report a case of subcutaneous infection caused by M. abscessus followed by an intramuscular injection.
Clarithromycin ; Injections, Intramuscular ; Lung ; Mycobacterium ; Skin ; Soft Tissue Infections

Mycobacterium massiliense (M. massiliense) was identified recently as a species that separated from M. abscessus. Unlike M. abscessus, M. massiliense responds well to clarithromycin-based antibiotic treatment. Many cases of M. massiliense infections related to iatrogenic procedures have been reported. We report a case of skin and soft tissue infection by M. massiliense, which was not caused by medical appliances, that was treated successfully using clarithromycin monotherapy for -6 months after initial treatment with empirical antibiotics for 4 weeks.
Anti-Bacterial Agents ; Clarithromycin ; Mycobacterium Infections ; Mycobacterium* ; Nontuberculous Mycobacteria ; Skin* ; Soft Tissue Infections*

Non-tubecrulosis mycobacterium infections were increasingly reported either pulmonary or extrapulmonary in the past decades. In Taiwan, we noticed several reports about the soft tissue infections caused by rapid growing mycobacterium such as Mycobacterium abscessus, Mycobacterium chelonae, on newspaper, magazines, or the multimedia. Most of them occurred after a plastic surgery, and medical or non-medical procedures. Here, we reported two cases of these infections following medical procedures. We also discussed common features and the clinical course of the disease, the characteristics of the infected site, and the treatment strategy. The literatures were also reviewed, and the necessity of the treatment guidelines was discussed.
Multimedia ; Mycobacterium chelonae ; Mycobacterium Infections ; Mycobacterium* ; Periodicals ; Periodicals as Topic ; Soft Tissue Infections* ; Surgery, Plastic ; Taiwan

Cervical necrotizing fasciitis is a rare but life-threatening soft tissue infection primarily affecting the superficial and deep fascial planes. If proper treatment is delayed, the infection may cause extensive necrosis of overlying skin, destroying fascia, adipose tissue and muscle and producing severe systemic toxicity. So the key to the successful outcome is early recognition and rapid initiation of definitive radical debridement. The authors report, along with a literature review, one case of necrotizing fasciitis spreading into the anterior chest wall.
Adipose Tissue ; Debridement ; Fascia ; Fasciitis, Necrotizing ; Muscles ; Necrosis ; Skin ; Soft Tissue Infections ; Thoracic Wall ; Thorax

Tigecycline is a broad spectrum antibiotic which has been used for complicated intra-abdominal infection and complicated skin and soft tissue infection by multi-drug resistant bacteria. However recent meta-analysis studies have raised a concern for adverse events of tigecycline. We analyzed retrospectively adverse events, associated factors of adverse events in multi-drug resistant bacteria caused infections treated with tigecycline in Korean patients. One hundred-sixty patients treated with tigecycline from July 2009 to September 2013 were enrolled in this study. Their clinical and microbiologic data were reviewed. History of invasive procedure within 7 days and recent operation within 3 months were associated with adverse events. The most common adverse events were nausea and vomiting. Associated factors of nausea were soft tissue injury and recent operation within 3 months. In this study, nausea was the most common adverse event in patients who received tigecycline. Although it is not serious complication, monitoring of adverse events is required to increase compliance.
Bacteria ; Compliance ; Drug-Related Side Effects and Adverse Reactions ; Humans ; Incidence* ; Intraabdominal Infections ; Nausea ; Retrospective Studies ; Skin ; Soft Tissue Infections ; Soft Tissue Injuries ; Vomiting

Adequate alveolar bone height and width are required for the successful placement of dental implants. Conventional therapeutic regimens for alveolar atrophy are bone grafts or augmentation using allografts and membrane (GBR). Conventional graft techniques have some limitations and complications such as infection, soft tissue problem and high resorption rate. Recently, distraction osteogenesis of alveolar bone is considered as a new alternative for ridge augmentation. Distraction osteogenesis was originally defined and popularized by Ilizarov for lengthening of long bone. Some clinicians have tried to apply distraction osteogenesis in treatment of maxillofacial discrepancies. It was also used to augment alveolar bone. Cologne study group successfully applied the technique for augmentation of alveolar bone and designed several miniplate-distractor systems fabricated by Martin Medizintechnik GmbH in Germany. Vertical distraction of alveolar bone was successfully completed in 104 patients with miniplate-distractor systems. The mean distance of distraction was 10.2mm (range: 6-15 mm) and the mean length of segment was 45 mm (range: 6-127 mm). 162 dental implants in 54 patients were placed immediately or 4 weeks later after removal of the distractor. The results of our study show that vertical distraction of alveolar bone is an effective and reliable technique to restore alveolar atrophy and alveolar vertical defect caused by trauma or tumor.
Allografts ; Atrophy ; Dental Implants* ; Germany ; Humans ; Membranes ; Osteogenesis, Distraction ; Soft Tissue Infections ; Transplants

A 20-year-old man developed necrotizing fasciitis of the left chest wall complicating acupuncture. Necrotizing fasciitis is a highly morbid soft tissue infection that rarely involves the upper torso. In the past, there has been few report on necrotizing fasciitis complicating acupunture in the English literature (based on a MEDLINE search covering 1966 to 2005). We present this extremely unusual case of a patient after taking acupuncture who survived severe necrotizing fasciitis of the chest wall following wide debridement of the necrotic tissue and broad-spectrum antibiotic therapy.
Acupuncture* ; Debridement ; Fasciitis, Necrotizing* ; Humans ; Soft Tissue Infections ; Thoracic Wall* ; Thorax* ; Torso ; Young Adult

PURPOSE: Finger is the one of the common site of open fracture, and it causes osteomyelitis of the phalanges. The purpose is to analyze the efficacy of management of chronic osteomyelitis in hand phalanges with mini external fixatior. METHODS: From March 2002 to December 2008, we experienced 8 cases of chronic osteomyelitis in hand phalanges. One case was a phalangeal infection after toe transfer, and three cases were the epiphyseal injury of phalanx in children. All cases used mini external fixator. Soft tissue coverage was performed using rotational flap in 4 cases, pedicled flap in 3, and cross finger flap in 1. Additional operation was required a mean of 2.2 times per patients. RESULTS: All cases achieved soft tissue coverage, eradication of osteomyelitis and bony union. However, five cases had bone shortening due to severe infection, and two cases showed mild growth disturbance. CONCLUSIONS: Mini external fixator is effective in management of osteomyelitis occurred in hand phalanges.
Child ; External Fixators ; Fingers ; Fractures, Open ; Hand ; Humans ; Osteomyelitis ; Soft Tissue Infections ; Surgical Flaps ; Toes