[Amputation of the hand due to necrotising fasciitis: a case report].
We report the case of an 81-year-old woman who fell at home on her left hand and suffered a laceration of her forehead. Within days a fulminant necrotizing fasciitis of the hand from group A β-haemolytic streptococcus developed. Lacking an apparent local germ entry point at the hand, the infection was initially misinterpreted as compartment syndrome. The patient's life was saved by amputation of the hand.
Abteilung für Hand-, Ästhetische und Plastische Chirurgie, Elbe Klinikum Stade, Stade.
Bernd
B
Hohendorff
Klinik für Unfallchirurgie und Orthopädie, Elbe Klinikum Stade, Stade.
S
S
Seyler
Abteilung für Hand-, Ästhetische und Plastische Chirurgie, Elbe Klinikum Stade, Stade.
M
M
Naik
Abteilung für Hand-, Ästhetische und Plastische Chirurgie, Elbe Klinikum Stade, Stade.
F
F
Biber
Klinik für Unfallchirurgie und Orthopädie, Elbe Klinikum Stade, Stade.
J
J
Franke
D000369:Aged, 80 and over; D000671:Amputation, Surgical; D057210:Delayed Diagnosis; D018450:Disease Progression; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005734:Gangrene; D006225:Hand / Q000601:surgery*; D006230:Hand Injuries / Q000150:complications / Q000175:diagnosis; D006801:Humans; D012086:Reoperation; D013290:Streptococcal Infections / Q000175:diagnosis / Q000601:surgery*; D013297:Streptococcus pyogenes; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis