Necrotizing fasciitis of lower extremity due to diverticulitis perforation: a case report
Journal Title: Journal of Acute Disease - Year 2019, Vol 8, Issue 3
Abstract
Rationale: Necrotizing fasciitis is an aggressive infection of subcutaneous tissues, which tends to spread rapidly through the fascial planes. Colonic diverticulosis is a common disease in advanced age, although it rarely causes a lethal necrotizing soft-tissue infection. Patient concerns: A 58-year-old woman complained of left leg pain for 15 d without abdominal pain. Diagnosis: Diverticulitis perforation presented as necrotizing fasciitis of the left thigh. Interventions: Extensive debridement. Outcomes: The patient died due to sepsis-induced multiple organ failure and severe metabolic acidosis. Lessons: Clinicians should be aware of presentations of diverticulitis in patients who have a soft-tissue infection in lower extremity even though patients may not have had a history of diverticulosis or abdominal pain.
Authors and Affiliations
Halil Dogan, Bilginar Kovanci
Keywords
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- EP ID EP569999
- DOI 10.4103/2221-6189.259115
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