Saltwater nectotizing fasciitis following coral reef laceration possibly exacerbated by a long-haul flight: a case report.

Hdl Handle:
http://hdl.handle.net/10147/93893
Title:
Saltwater nectotizing fasciitis following coral reef laceration possibly exacerbated by a long-haul flight: a case report.
Authors:
Byrne, Ann-Maria; Sullivan, Paul; Keogh, Peter
Affiliation:
Department of Orthopaedics, Connolly Hospital, Blanchardstown, Dublin 15, Ireland.
Citation:
Saltwater nectotizing fasciitis following coral reef laceration possibly exacerbated by a long-haul flight: a case report. 2009, 2:9102notCases J
Journal:
Cases journal
Issue Date:
2009
URI:
http://hdl.handle.net/10147/93893
DOI:
10.1186/1757-1626-2-9102
PubMed ID:
20062679
Abstract:
INTRODUCTION: Necrotising fasciits is a rapidly progressive disease characterised by extensive necrosis of the fascia, skin, and subcutaneous tissue, with relative sparing of the underlying muscle. CASE PRESENTATION: We present the case of a 24-year old Irish male student who sustained a laceration to his right shin from contact with a coral reef while swimming in the Phuket region, off the west coast of Thailand. The following day, he returned to Ireland and presented with an aggressive and destructive variant of group A beta-hemolytic streptococcal necrotising fasciitis originating at the site of the coral reef injury, and exacerbated by the long-haul flight. He was successfully treated with aggressive surgical debridement, vacuum-assisted dressings, split skin grafting and broad spectrum antibiotics. CONCLUSION: Necrotising fasciitis can progress rapidly to systemic toxicity and even death without expedient diagnosis and aggressive treatment. Long-haul flights induce significant fluid accumulation in the lower extremity. These physiological fluid shifts may have contributed to the severity of our patient's necrotizing condition following his flight from Thailand.
Language:
en
ISSN:
1757-1626

Full metadata record

DC FieldValue Language
dc.contributor.authorByrne, Ann-Mariaen
dc.contributor.authorSullivan, Paulen
dc.contributor.authorKeogh, Peteren
dc.date.accessioned2010-03-08T14:56:14Z-
dc.date.available2010-03-08T14:56:14Z-
dc.date.issued2009-
dc.identifier.citationSaltwater nectotizing fasciitis following coral reef laceration possibly exacerbated by a long-haul flight: a case report. 2009, 2:9102notCases Jen
dc.identifier.issn1757-1626-
dc.identifier.pmid20062679-
dc.identifier.doi10.1186/1757-1626-2-9102-
dc.identifier.urihttp://hdl.handle.net/10147/93893-
dc.description.abstractINTRODUCTION: Necrotising fasciits is a rapidly progressive disease characterised by extensive necrosis of the fascia, skin, and subcutaneous tissue, with relative sparing of the underlying muscle. CASE PRESENTATION: We present the case of a 24-year old Irish male student who sustained a laceration to his right shin from contact with a coral reef while swimming in the Phuket region, off the west coast of Thailand. The following day, he returned to Ireland and presented with an aggressive and destructive variant of group A beta-hemolytic streptococcal necrotising fasciitis originating at the site of the coral reef injury, and exacerbated by the long-haul flight. He was successfully treated with aggressive surgical debridement, vacuum-assisted dressings, split skin grafting and broad spectrum antibiotics. CONCLUSION: Necrotising fasciitis can progress rapidly to systemic toxicity and even death without expedient diagnosis and aggressive treatment. Long-haul flights induce significant fluid accumulation in the lower extremity. These physiological fluid shifts may have contributed to the severity of our patient's necrotizing condition following his flight from Thailand.-
dc.language.isoenen
dc.titleSaltwater nectotizing fasciitis following coral reef laceration possibly exacerbated by a long-haul flight: a case report.en
dc.contributor.departmentDepartment of Orthopaedics, Connolly Hospital, Blanchardstown, Dublin 15, Ireland.en
dc.identifier.journalCases journalen

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