Heroin-induced skin necrosis and necrotizing fasciitis
Abstract
Necrotizing fasciitis is rapidly progressive soft tissues infection with a high mortality rate. The definitive diagnosis is made intraoperatively, after surgical exploration, by the presence of necrosis of the fascia. Left lower limb necrotizing fasciitis in a drug user after heroin injection is described. In this case report the pathogenic agent and the location of the infection are unusual. Early surgical treatment is important to avoid major complications.
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References
Green R, Dafoe D, Raffin T. Necrotizing fasciitis. Chest 1996;110:219–29.
Miller LG, Perdreau-Remington F, Rieg G, et al. Necrotizing fasciitis caused by community-associated methicillin-resistant Staphylococcus aureus in Los Angeles. N Engl J Med. 2005; 352:1445–53.
Chen JL, Fullerton KE, Flynn NM. Necrotizing fasciitis associated with injection drug use. Clin Infect Dis. 2001; 33:6–15.
Miller LG, Perdreau-Remington F, Rieg G, et al. Necrotizing fasciitis caused by community-associated methicillin-resistant Staphylococcus aureus in Los Angeles. N Engl J Med. 2005; 352:1445–53.
Chen JL, Fullerton KE, Flynn NM. Necrotizing fasciitis associated with injection drug use. Clin Infect Dis. 2001; 33:6–15.
Published
2017-10-08
How to Cite
MONTEIRO, Ana Filipe et al.
Heroin-induced skin necrosis and necrotizing fasciitis.
Revista Portuguesa de Cirurgia, [S.l.], n. 41, p. 51 - 52, oct. 2017.
ISSN 2183-1165.
Available at: <https://revista.spcir.com/index.php/spcir/article/view/573>. Date accessed: 25 apr. 2024.
Section
Images for Surgeons
