Necrotizing Soft Tissue Infection in an Immunocompromised Patient.

Case Rep Crit Care

Division of Pulmonary, Critical Care, and Sleep Medicine, University of California, San Diego, La Jolla, CA, USA.

Published: April 2018

AI Article Synopsis

  • This report presents the first recorded case of necrotizing soft tissue infection (NSTI) caused by a specific organism in an immunocompromised individual in the Western Hemisphere.
  • The patient, who was neutropenic due to acute lymphoblastic leukemia, showed unusual clinical and laboratory signs that complicated diagnosis and delayed necessary surgery.
  • The case emphasizes the need for medical providers to be aware of atypical organisms and presentation in NSTI cases among immunocompromised patients to improve timely diagnosis and treatment.

Article Abstract

Introduction: To report on the first recorded case of necrotizing soft tissue infection (NSTI) in an immunocompromised individual caused by in the Western Hemisphere and highlight the challenges that medical providers face in promptly diagnosing and treating NSTI in this highly vulnerable patient population.

Case Presentation: We report a case of NSTI caused by in a neutropenic patient admitted for treatment of acute lymphoblastic leukemia. The patient presented with laboratory and clinical findings atypical for a NSTI that may have confounded its diagnosis and delayed surgical intervention. Despite aggressive medical care and surgical debridement, the patient unfortunately passed away due to overwhelming septic shock.

Conclusions: Providers should consider atypical organisms as causative in NSTI in immunocompromised patients and recognize that these patients may present without classic clinical and laboratory findings.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5899866PMC
http://dx.doi.org/10.1155/2018/1475730DOI Listing

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