title: Fatal necrotizing fasciitis following elective inguinal hernia repair.
abstract: Necrotizing soft tissue infections (NSTIs) following elective hernia repair are extremely uncommon, though they can occur following emergency surgery for complicated hernias. They are also usually seen in individuals with impaired immunity. We report a case of fatal necrotizing fasciitis following elective hernia repair in an otherwise healthy young patient. A high index of suspicion is required to diagnose this condition early, as it is difficult to differentiate it from superficial surgical site infection.
authors.affiliation: Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, India. sarathsistla@hotmail.com
authors.forename: S C
authors.initials: SC
authors.lastname: Sistla
authors.forename: G
authors.initials: G
authors.lastname: Sankar
authors.forename: S
authors.initials: S
authors.lastname: Sistla
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017558:Elective Surgical Procedures / Q000009:adverse effects*; D019115:Fasciitis, Necrotizing / Q000209:etiology / Q000382:microbiology* / Q000401:mortality; D017809:Fatal Outcome; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D013203:Staphylococcal Infections / Q000188:drug therapy*; D013211:Staphylococcus aureus; D013290:Streptococcal Infections / Q000188:drug therapy*; D013297:Streptococcus pyogenes; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents