Back to Search
Start Over
Necrotizing Fasciitis Secondary to a Primary Suture for Anoperineal Trauma by Motorcycle Accident in a Healthy Adult
- Source :
- Case Reports in Emergency Medicine, Vol 2015 (2015)
- Publication Year :
- 2015
- Publisher :
- Wiley, 2015.
-
Abstract
- A 41-year-old man experienced a swollen scrotum three days after a motorcycle accident and presented to our hospital. He had had a primary suture repair for anoperineal trauma in an outside hospital at the time of the injury. He presented to us with general fatigue, low grade fevers, and perineal pain. Abdominal computed tomography showed subcutaneous emphysema from the scrotum to the left chest. The sutured wound had foul-smelling discharge and white exudate. We made the diagnosis of necrotizing fasciitis and immediately opened the sutured wound and performed initial debridement and lavage with copious irrigation. We continued antibiotics and lavage of the wound until the infection was controlled. Fortunately, the necrotizing fasciitis did not worsen and he was discharged after 15 days. Our experience indicates that anoperineal injuries should not be closed without careful and intensive follow-up due to the potential of developing necrotizing fasciitis.
- Subjects :
- Medical emergencies. Critical care. Intensive care. First aid
RC86-88.9
Subjects
Details
- Language :
- English
- ISSN :
- 2090648X and 20906498
- Volume :
- 2015
- Database :
- Directory of Open Access Journals
- Journal :
- Case Reports in Emergency Medicine
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.13e2c70db35b429db05706a0f7e9cd93
- Document Type :
- article
- Full Text :
- https://doi.org/10.1155/2015/956156