title: Foot pain and swelling after minor traumatic injury.
abstract: Necrotizing fasciitis is a rare bacterial infection of the fascia and surrounding soft tissue, which carries a mortality rate as high as 20%, even in well-appearing patients [1]. Classically, this diagnosis must be made with computed tomography or magnetic resonance,but recent literature shows that ultrasonography, readily available in the emergency department, may be adequate for diagnosis [2]. We present a case of a 48-year-old man who presented with a painful rash. We used his clinical presentation and ultrasound to make the diagnosis,which was later corroborated with plain radiograph findings. He was taken immediately to the operating room for extensive debridement.He was discharged 8 days later in good condition.
authors: Department of Emergency Medicine, Emergency Ultrasound Division, Mount Sinai St. Luke's/Mount Sinai Roosevelt Hospital Center, New York, NY.
authors: Patrick
authors: P
authors: Olivieri
authors: Department of Emergency Medicine, Emergency Ultrasound Division, Mount Sinai St. Luke's/Mount Sinai Roosevelt Hospital Center, New York, NY.
authors: Gabriel
authors: G
authors: Rose
authors: Department of Emergency Medicine, Emergency Ultrasound Division, Mount Sinai St. Luke's/Mount Sinai Roosevelt Hospital Center, New York, NY.
authors: Sebastian
authors: S
authors: Siadecki
authors: Department of Emergency Medicine, Emergency Ultrasound Division, Mount Sinai St. Luke's/Mount Sinai Roosevelt Hospital Center, New York, NY.
authors: Rachel
authors: R
authors: Berkowitz
authors: Department of Emergency Medicine, Emergency Ultrasound Division, Mount Sinai St. Luke's/Mount Sinai Roosevelt Hospital Center, New York, NY.
authors: Turandot
authors: T
authors: Saul
mesh_terms: D048909:Diabetes Complications / Q000000981:diagnostic imaging* / Q000209:etiology; D004487:Edema / Q000209:etiology; D019115:Fasciitis, Necrotizing / Q000000981:diagnostic imaging* / Q000209:etiology; D018409:Foot Injuries / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D014463:Ultrasonography