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Understanding limb necrotizing infections: A comprehensive approach.
Rev Esp Cir Ortop Traumatol
November 2024
Department of Traumatology and Orthopaedic Surgery, Hospital Clínico San Carlos, Madrid, España; Surgery Department, Complutense University, Madrid, España.
Article Synopsis
- Necrotizing soft tissue infections (NSTIs) are increasingly common and can lead to serious health risks; timely diagnosis and a multidisciplinary treatment approach are vital.
- A study at a hospital in Madrid from 2016 to 2022 reviewed 22 NSTI patients, noting symptoms such as severe pain, fever, and tachycardia, with a median surgery time of 8.25 hours post-admission.
- Despite aggressive treatment, including antibiotics and surgical debridement, the study found a high in-hospital mortality rate of 22.73%, highlighting the need for continued vigilance and improved outcomes in NSTI management.
Understanding limb necrotizing infections: A comprehensive approach.
Rev Esp Cir Ortop Traumatol
April 2024
Department of Traumatology and Orthopaedic Surgery, Clínico San Carlos Hospital, Profesor Martín Lagos s/n Street, 28040 Madrid, Spain; Surgery Department, Complutense University, Madrid, Spain.
Introduction: Necrotizing soft tissue infections (NSTI) are increasing, posing a significant risk of morbidity and mortality. Due to nonspecific symptoms, a high index of suspicion is crucial. Treatment involves a multidisciplinary approach, with broad-spectrum antibiotics, early surgical debridement, and life support.
View Article and Find Full Text PDFPolymicrobial Pyomyositis in a Patient with Suspected Myeloma on F-FDG PET-CT.
Indian J Nucl Med
July 2022
Department of Neurology, All India Institute of Medical Sciences, New Delhi, India.
Pyomyositis is an infective involvement of systemic skeletal muscles. We discuss the case of 43-year-old male who presented with quadriparesis, anemia, and hypercalcemia, leading to suspicion of multiple myeloma, and on FDG PET-CT, incidentally, pyomyositis was found. FDG PET-CT thus helped in diagnosing an occult infection which helped in the treatment of the patient.
View Article and Find Full Text PDFTemperate pyomyositis: a pain in the belly.
Am J Emerg Med
February 2015
Department of Emergency Medicine, Boston University School of Medicine, Boston, MA.
Pyomyositis is a rare disease in temperate climates. This case is a unique presentation of pyomyositis of the rectus abdominal muscle mimicking an acute abdominal process. Most reported cases of pyomyositis are of extremity infections with Staphylococcus aureus.
View Article and Find Full Text PDFIncreased oxacillin resistance in thigh pyomyositis in diabetic patients.
Clin Orthop Relat Res
June 2008
Department of Orthopaedics, LAC+USC Medical Center, University of Southern California, Keck School of Medicine, 1200 N. State St. GNH-3900, Los Angeles, CA 90033, USA.
Unlabelled: Thigh abscesses due to pyomyositis are uncommon. To guide empiric antibiotic therapy in diabetics we determined the rate of such infections due to oxacillin-resistant Staphylococcus aureus and Gram-negative organism infections, and whether the occurrence of oxacillin-resistant pathogens increased during the study period. We retrospectively reviewed 39 adult patients with diabetes mellitus treated for a deep thigh abscess.
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