title: 31-year-old injection drug user with massive skin necrosis and shock.
abstract: Massive tissue necrosis and septic shock have recently been reported in a series of injection drug users in Scotland, England and Ireland. We report the first case outside the UK meeting the criteria for this new entity (septic shock without fever in an injection drug user, local and systemic inflammation, rhabdomyolysis and tissue necrosis at the injection site). Following surgical treatment and antibiotic treatment, the patient was cured and is currently well.
authors.affiliation: Department of Dermatology, University of Essen, Germany. ulrich.hengge@uni-essen.de
authors.forename: Ulrich R
authors.initials: UR
authors.lastname: Hengge
authors.forename: Martin
authors.initials: M
authors.lastname: Beiderlinden
authors.forename: Friedrich
authors.initials: F
authors.lastname: Otterbach
authors.forename: Harald
authors.initials: H
authors.lastname: Groeben
authors.forename: Dieter
authors.initials: D
authors.lastname: Nast-Kolb
authors.forename: Wolfgang H
authors.initials: WH
authors.lastname: Mehnert
authors.forename: Jürgen
authors.initials: J
authors.lastname: Peters
authors.forename: Kurt W
authors.initials: KW
authors.lastname: Schmid
mesh_terms: D000328:Adult; D003015:Clostridium Infections / Q000175:diagnosis; D003937:Diagnosis, Differential; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000209:etiology / Q000382:microbiology; D006556:Heroin Dependence / Q000150:complications; D006801:Humans; D007866:Leg; D009336:Necrosis; D012772:Shock, Septic / Q000209:etiology*; D012867:Skin / Q000473:pathology*; D015819:Substance Abuse, Intravenous / Q000150:complications*