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[18F]FDG PET/CT in Necrotizing Fasciitis: A Case Series Investigating the Clinical Utility in a Challenging and Rare Condition.
Indian J Nucl Med
November 2024
Radiation Medicine Centre, Bhabha Atomic Research Centre, TMC Annexe, Mumbai, Maharashtra, India.
Necrotizing fasciitis is a deadly yet rare soft tissue and skin infection that is usually diagnosed clinically. At times, clinical signs may betray the underlying etiology and masquerade as cellulitis in the early course of the disease. We report four cases with clinical suspicion of necrotizing fasciitis, some after the failure of therapy for cellulitis who underwent 18-F fluorodeoxyglucose positron emission tomography-computed tomography (18-F FDG PET/CT) showing the extent of the disease, showing subclinical sites of involvement in patients with necrotizing fasciitis on baseline scan as well as its role in assessing response to treatment using 18-F FDG PET/CT.
View Article and Find Full Text PDFClostridium Septicum: Cause of Gas Gangrene in the Upper Extremity Leading to Proximal Trans-Humeral Amputation, A Review of Clostridium septicum.
J Orthop Case Rep
November 2024
Department of Orthopaedic Surgery, Philadelphia Hand Surgeon PLLC, Lankenau Medical Center, Wynnewood, Pennsylvania.
Article Synopsis
- Gas gangrene is a severe, often deadly infection caused by Clostridial species, typically arising from injuries, with rare cases of spontaneous infection associated with Clostridium septicum and linked to bowel issues or immune deficiencies.
- A case study details a 71-year-old woman who experienced sudden swelling and pain in her left forearm, leading to emergency surgeries after being diagnosed with C. septicum bacteremia, but ultimately lost function in her arm and required amputation.
- The case emphasizes the critical need for prompt diagnosis and urgent surgical treatment of Clostridial myonecrosis to improve chances of survival.
Imaging of necrotizing fasciitis.
Clin Imaging
December 2024
Department of Radiology, Denver Health, 777 Bannock Street, Denver, CO 80204, United States of America.
Necrotizing Fasciitis (NF) is a rare, but highly lethal, rapidly progressive necrotic infection of the soft-tissue fascia. More common in immunocompromised patients, NF typically affects the extremities, perineal area, genital area (Fournier gangrene), and less commonly the torso. Although classically a clinical diagnosis, imaging is a powerful adjunct to facilitate early diagnosis in equivocal cases.
View Article and Find Full Text PDFMR imaging of the penis: What a radiologist needs to know!
Abdom Radiol (NY)
November 2024
Department of Radiology, University of Texas Health, San Antonio, TX, USA.
Article Synopsis
- - MRI is key for checking penile pathologies because it offers high-quality images of soft tissues and can view structures from multiple angles.
- - The review discusses MRI techniques and important anatomy related to these conditions.
- - MRI is not only a supportive tool alongside ultrasound for trauma and infections but is also the main method for evaluating penile prostheses and complicated cases.
[Fatal course of a fulminant gas gangrene of the right hemithorax].
Unfallchirurgie (Heidelb)
January 2025
Klinik für Unfallchirurgie und Orthopädie, Universitätsklinikum Knappschaftskrankenhaus Bochum, In der Schornau 23-25, 44892, Bochum, Deutschland.
Article Synopsis
- Gas gangrene is a rare but severe infection often caused by the pathogen Clostridium septicum, which can develop either from trauma or spontaneously, particularly in patients with conditions like occult colon carcinoma.
- Individuals with diabetes mellitus are at a higher risk for developing this infection, which has a high mortality rate of around 50%, even with aggressive treatment.
- Initial symptoms are vague, complicating early diagnosis, and treatment typically involves high-dose antibiotics, surgical removal of infected tissue, and sometimes hyperbaric oxygen therapy.
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