[Necrotizing fasciitis complicating transthoracic biopsy].
BACKGROUND
Necrotizing fasciitis is a rapidly progressive and often fatal infection of the soft-tissue fascia deep to the skin but superficial to the muscles. We report a case of necrotizing fasciitis of the anterior chest wall complicating a percutaneous needle biopsy.


METHODS
A 49-year-old diabetic patient, presented persistent excavated right pulmonary opacities. A percutaneous biopsy was obtained and complicated by a necrotizing fasciitis. The patient underwent surgery for total resection of the necrotic tissues followed by antibiotic treatment. Outcome was favorable after 30 days of antibiotic therapy.


CONCLUSIONS
Necrotizing fasciitis is a life threatening complication of transthoracic percutaneous biopsy. Prognosis depends on rapid diagnosis and treatment.
Nouira
K
K
Service d'Imagerie médicale, Hôpital La Rabta, Tunis, Tunisie. kais.nouira@gmail.com
Bourkhis
S
S
Maalej
S
S
Ben Hassouna
J
J
Azaiez
O
O
Ben Messaoud
M
M
Bourguiba
M
M
Drira
I
I
Rahal
K
K
Menif
E
E
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001707:Biopsy, Needle / Q000009:adverse effects*; D048909:Diabetes Complications; D019115:Fasciitis, Necrotizing / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D018410:Pneumonia, Bacterial / Q000175:diagnosis; D013290:Streptococcal Infections / Q000175:diagnosis; D034365:Streptococcus constellatus / Q000302:isolation & purification; D013909:Thorax; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents