Necrotising fasciitis as a complication of steroid injection.

Birkinshaw, R; O’Donnell, John J.; Sammy, Ian

doi:10.1136/emj.14.1.52

Cited by 32 publications

(15 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Whereas streptococci are common bacterias responsible for many uncomplicated wound infections, spreading streptococcal infections causing a state of toxic shock within a short period of time are being reported with increasing frequency. Such situations are not only encountered after trauma [16], injections [4] or orthopedic operations [12,23], they are also found complicating nasopharyngeal infections [6] and in pediatrics [17]. Moses et al [17] have demonstrated an increasing frequency of these infections in pediatric patients during the last decade, a phenomenon which has also been reported for other patient cohorts [26].…”

Section: Introductionmentioning

confidence: 70%

Necrotizing Soft Tissue Infection - An Increasing Problem in Orthopedic Trauma

Schwarz

Redl

Grasslober

et al. 2000

European Journal of Trauma

View full text Add to dashboard Cite

In a trauma hospital 5 patients with necrotizing fasciitis were observed during the last 7 years. The causative agent was streptococci B in 1 patient, streptococci A in 3 patients, and staphylococci in 1 patient. Three patients developed a toxic shock syndrome, which was fatal in 2. One patient was treated for a gout arthritis with intramuscular injection of NSAID, 2 patients were treated for fractures, and 2 for soft tissue injuries. Potential risk factors for a necrotizing soft tissue inflammation was a metabolic syndrome plus chronic nasopharyngeal infections in 1 patient, obesity in 1, and an occult myeloic leukemia in 1 patient. The problem of necrotizing fasciitis in trauma patients is not new, but own observations and the literature suggest an increasing frequency of this disease over the last decade. Necrotizing fasciitis can be encountered unexpectedly in any given situation, early diagnosis which can be very difficult is the clue to successful treatment.

show abstract

Section: Introductionmentioning

confidence: 70%

Necrotizing Soft Tissue Infection - An Increasing Problem in Orthopedic Trauma

Schwarz

Redl

Grasslober

et al. 2000

European Journal of Trauma

View full text Add to dashboard Cite

show abstract

“…7 Birkinshaw et al reported NF at the shoulder region as a complication of steroid injection of a painful shoulder in a previously healthy female. 8 Necrotizing fasciitis with myonecrosis has not been reported in children as a complication of routine vaccination or injection. However, minor trauma and small punctures are known causes of NF in children.…”

Section: Discussionmentioning

confidence: 99%

A Very Uncommon Complication Following Vaccination: Necrotizing Fasciitis and Myonecrosis: Case Report

Şenaran¹,

Karalezli²,

Öğün³

2010

Turkiye Klinikleri J Med Sci

View full text Add to dashboard Cite

“…Initiating steroids was a therapeutic dilemma, as steroid use has been reported as an aetiological factor in necrotising fasciitis. 9,10 This was a unique case, which presented with fatal vasculitis resulting in tissue necrosis amounting to necrotising fasciitis and posing a therapeutic dilemma about role of systemic steroids.…”

Section: Managementmentioning

confidence: 99%

McTd With Large Vasculitic Ulcers- A Therapeutic Dilemma

Farande¹,

Petkar²,

Khandge³

2017

jemds

View full text Add to dashboard Cite

HOW TO CITE THIS ARTICLE:Farande PV, Petkar S, Khandge A. MCTD with large vasculitic ulcers-a therapeutic dilemma. J. Evolution Med. Dent. Sci. 2017;6(83):5825-5827, DOI: 10.14260/jemds/2017/1265 PRESENTATION OF CASEA 37 years old female, a homemaker, residing in Navi Mumbai, came with chief complaints of multiple painful, reddish black skin lesions with blisters since 2 days, fever since 15 days, ulcer over fingertips since 3 months, tightening of skin over face since 3 months.Patient was apparently alright about 3 months before when she first presented to us with complaints of bluish discoloration of her fingers on exposure to cold. On rewarming, the fingers used to become normal. This was followed by development of small ulcers over the fingertips, which later healed with stellate scars. About 3 months ago, she developed pain in the knee joints. The pain subsided temporarily by the analgesics prescribed by the local practitioner. She also developed swelling of hands and feet and tightening of her facial skin. About 15 days ago, she developed fever. It was of high grade and continuous type, subsiding temporarily with antipyretics. After a few days following the onset of fever she developed painful, reddishblack skin discoloration of skin over the left hand dorsum, right elbow and forearm and the right calf area. The painful discoloration rapidly increased in size and developed reddish fluid filled blisters. There was history of decreased appetite and weight loss. There was no history of photosensitivity, difficulty in swallowing, breathing or other systemic involvement. There was no history suggestive of any neurological or musculoskeletal impairment and urinary bladder disturbance. Past history was not significant. There was no history of drug allergy, medical or surgical illness. Menstrual history -3/28 days regular menstrual cycle. Attained menarche at the age of 17 years of age. Obstetric history-She has three children, all were full-term normal deliveries without any complications. She did not have any history of abortions. General ExaminationPatient was conscious, well-oriented to time, place and person. She was febrile. Her vitals were normal. She had moderate pallor and oedema of hands and both feet. Cutaneous examination revealed multiple areas of cutaneous necrosis in the form of indurated purpuric red skin with multiple haemorrhagic blisters.

show abstract

Necrotising fasciitis as a complication of steroid injection.

Abstract: Necrotising fasciitis is described as a complication of steroid injection of a painful shoulder in a previously well female. This case highlights a very rare life threatening emergency after steroid

Cited by 32 publications

References 12 publications

Necrotizing Soft Tissue Infection - An Increasing Problem in Orthopedic Trauma

Necrotizing Soft Tissue Infection - An Increasing Problem in Orthopedic Trauma

A Very Uncommon Complication Following Vaccination: Necrotizing Fasciitis and Myonecrosis: Case Report

McTd With Large Vasculitic Ulcers- A Therapeutic Dilemma

Contact Info

Product

Resources

About