Necrotizing fasciitis causing severe myocardial dysfunction with ST-segment elevation in a young man.
Necrotizing fasciitis is a life-threatening infection of the fascia and subcutaneous tissues. We report on a 30-year-old man with history of intramuscular injection resulted in gluteal abscess that progressed to necrotizing fasciitis. On admission, the patient developed circulatory collapse, severe left ventricular dysfunction, and ST-segment elevation in the inferior leads. Wound and blood cultures indicated staphylococcal infection. The clinical, laboratory, echocardiographic, and electrocardiographic features are discussed.
El-Menyar
Ayman
A
Department of Cardiology and Cardiovascular Surgery, Hamad general hospital P.O box 3050, Doha, Qatar. aymanco65@yahoo.com
Shaikh
Nissar
N
D000328:Adult; D009202:Cardiomyopathies / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D003937:Diagnosis, Differential; D004562:Electrocardiography; D019115:Fasciitis, Necrotizing / Q000150:complications* / Q000628:therapy; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000175:diagnosis; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D013203:Staphylococcal Infections / Q000150:complications* / Q000628:therapy