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File
language
eng
Attribute
cace report
Author
Tanaka, Naomi
Minami, Noriaki
Mushimoto Yuichi
Kanai, Rie
Yamaguchi, Seiji
Higuchi Tsuyoshi
Kuwata, Takumi
Description
An 18-month-old boy suffering from pain and swelling of the right leg and fever, all of which developed following chickenpox infection, was referred to our hospital. His peripheral blood white blood cell count and CRP were elevated to 19,630 /μl and
9.87 mg/dl, respectively. Streptococcal antigen was detected on the throat swab. T2-weighted magnetic resonance images demonstrated high intensity signal in the fascia on his right leg, suggesting a diagnosis of necrotizing fasciitis(NF). Upon exploratory incision, surgical debridement and fasciotomy were performed on his leg. After surgery, pain and swelling of the leg and fever disappeared swiftly following antibiotics infusion. Two months postoperatively, he could walk without any impediment. Although NF is generally characterized by rapidly spreading necrosis and a high mortality rate, early diagnosis of NF with MRI followed by timely surgical intervention led to quick recovery of our patient without any major complications.
Subject
necrotizing fasciitis
child
magnetic resonance imaging
debridement
exploratory incision
Journal Title
Shimane journal of medical science
Volume
30
Issue
1
Start Page
47
End Page
52
ISSN
03865959
ISSN(Online)
24332410
Published Date
2013-11-01
NCID
AA00841586
Publisher
Shimane University Faculty of Medicine
NII Type
Departmental Bulletin Paper
Format
PDF
Text Version
出版社版
OAI-PMH Set
Faculty of Medicine
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