AI Article Synopsis
- Necrotizing fasciitis (NF) is a severe and rare soft tissue infection that can be life-threatening, as highlighted in a case involving a 76-year-old male with colorectal cancer.
- The patient exhibited rapid onset of septic shock along with skin necrosis and inflammation, ultimately traced back to a perforated sigmoid colon.
- The case underscores the importance of identifying diverse symptoms of NF and its link to serious abdominal conditions for timely treatment and better patient survival.
Article Abstract
Introduction: Necrotizing fasciitis (NF) is a rare but potentially fatal soft tissue infection characterized by its aggressive nature. This case report highlights a unique and atypical presentation of NF associated with colorectal cancer.
Case Presentation: A 76-year-old male with no significant medical history presented with left knee pain and rapidly progressing septic shock. Clinical examination revealed skin necrosis, inflammation, and swelling in the left thigh and inguinal region. Laboratory investigations showed leukocytosis and elevated C-reactive protein levels. Computed tomography angiography revealed fluid and gas tracking along fascial planes in the left thigh. Surgical intervention revealed NF in the thigh and abdominal wall, with the underlying cause being a perforated sigmoid colon cancer.
Conclusion: Recognizing the polymorphic clinical manifestations of NF and its potential association with underlying abdominal pathology can aid in early diagnosis and improve patient outcomes. This report serves as a reminder of the life-threatening nature of NF and the necessity for rapid and comprehensive management.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10597850 | PMC |
| http://dx.doi.org/10.1016/j.idcr.2023.e01914 | DOI Listing |
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