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.
Department of Cardiology and Cardiovascular Surgery, Hamad general hospital P.O box 3050, Doha, Qatar. aymanco65@yahoo.com
Ayman
A
El-Menyar
Nissar
N
Shaikh
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