Necrotizing fasciitis in a plaster-casted limb: case report.
Casts may be associated with, and mask, serious life-threatening complications, including infection, compartment syndrome, and deep vein thrombosis with or without pulmonary embolism. A 43-year-old woman had necrotizing fasciitis associated with a closed-reduction casting of a tibial fracture. Her treatment highlights the importance of removing a cast and assessing the skin and tissue underneath for signs of infection in patients with suspected infection. Thorough assessment, early diagnosis, and early intervention in necrotizing fasciitis and sepsis are important to improve patients' outcomes.
Division of Pulmonary and Critical Care Medicine, University of Maryland, USA. gnetzer@medicine.umaryland.edu
Giora
G
Netzer
Barry D
BD
Fuchs
D000328:Adult; D002370:Casts, Surgical / Q000382:microbiology*; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006801:Humans; D007869:Leg Injuries; D009102:Multiple Organ Failure / Q000209:etiology / Q000503:physiopathology; D012772:Shock, Septic / Q000150:complications