title: Necrotizing fasciitis as complication of injection into greater trochanteric bursa.
abstract: Necrotizing fasciitis is a limb- and life-threatening soft-tissue infection that frequently involves the extremities. This article describes the first case of necrotizing fasciitis developing from a single steroid injection of the greater trochanteric bursa. Despite early resuscitation and aggressive surgical management that included a hip disarticulation, the patient expired. Potential contributing factors are reviewed.
authors.affiliation: Orthopedics Department, Naval Medical Center San Diego, California, USA.
authors.forename: E
authors.initials: E
authors.lastname: Hofmeister
authors.forename: S
authors.initials: S
authors.lastname: Engelhardt
mesh_terms: D000305:Adrenal Cortex Hormones / Q000009:adverse effects*; D000368:Aged; D002061:Bursa, Synovial; D002062:Bursitis / Q000188:drug therapy; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000628:therapy; D005269:Femur; D006801:Humans; D007270:Injections, Intra-Articular / Q000009:adverse effects; D008173:Lung Diseases, Obstructive / Q000150:complications; D008297:Male; D009765:Obesity / Q000150:complications
chemical_list: D000305:Adrenal Cortex Hormones