title: Retroperitoneal Necrotizing Soft Tissue Infection in a Healthy Adult Masquerading as Acute Pancreatitis.
abstract: Necrotizing soft tissue infections (NSTIs) are polymicrobial infections with high morbidity and mortality. We report a case of retroperitoneal NSTI in an immunocompetent young male, with clinical symptoms and signs mimicking acute pancreatitis (pseudo-Cullen's and pseudo-Grey-Turner's signs. The initiating lesion was a pustule which progressed and mimics acute pancreatitis. CT scan showed features of retroperitoneal NSTI. After extensive debridement and antibiotics, the patient improved. NSTI of the retroperitoneum is rare. The absence of external clinical signs and anatomical barriers make the disease difficult to manage.
authors.affiliation: Department of Surgery, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi, India.
authors.forename: Nitin
authors.initials: N
authors.lastname: Agarwal
authors.affiliation: Department of Surgery, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi, India.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Shazib Faridi
authors.affiliation: Department of Surgery, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi, India.
authors.forename: Pradeep
authors.initials: P
authors.lastname: Saini
authors.affiliation: Department of Surgery, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi, India.
authors.forename: Navneet
authors.initials: N
authors.lastname: Kaur
authors.affiliation: Department of Surgery, University College of Medical Sciences and Guru Tegh Bahadur Hospital, Delhi, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Gupta
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D010195:Pancreatitis / Q000175:diagnosis*; D010808:Physical Examination; D012187:Retroperitoneal Space / Q000473:pathology*; D018461:Soft Tissue Infections / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Acute pain; Acute pancreatitis; Infection