Introduction: Hydatid disease, known since Hippocrates’ time, is still a serious trouble. Intramuscular hydatid cyst is extremely rare, at less than 1% of all locations. We describe herein a patient with an intramuscular hydatid cyst that has a very low chance of being experienced outside endemic areas by many physicians.Case Report: A 64-year-old man was admitted to our hospital with a six-month history of a painless slow-growing mass in his left hemithorax. Upon physical examination, there was a 6 × 4.5-cm, non-tender, mobile, smoothly outlined mass on the left latissimus dorsi muscle. Radiological assessments revealed two cystic pulmonary nodules in the right inferior lobe and no other organ involvement. The patient underwent a two-step surgery. Diagnosis was verified on histopathological examination. After the operation, medical treatment with albendazole (10 mg/kg/day) for three months was prescribed.Conclusion: Hydatid disease can be found in any skeletal muscle or, indeed, anywhere in the body. Due to its rarity and unusual location, diagnosis can be missed easily in a busy and crowded ER. Hydatid disease should be kept in mind in the differential diagnosis of all soft tissue lesions, even though they located in the muscle, particularly in endemic zones such as Turkey
{"title":"Intramuscular Hydatid Cyst: Report of an Unusual Case","authors":"S. Calik, M. Çalık, Mihrican Yeşildağ, H. Esme","doi":"10.5152/JEMCR.2016.1569","DOIUrl":"https://doi.org/10.5152/JEMCR.2016.1569","url":null,"abstract":"Introduction: Hydatid disease, known since Hippocrates’ time, is still a serious trouble. Intramuscular hydatid cyst is extremely rare, at less than 1% of all locations. We describe herein a patient with an intramuscular hydatid cyst that has a very low chance of being experienced outside endemic areas by many physicians.Case Report: A 64-year-old man was admitted to our hospital with a six-month history of a painless slow-growing mass in his left hemithorax. Upon physical examination, there was a 6 × 4.5-cm, non-tender, mobile, smoothly outlined mass on the left latissimus dorsi muscle. Radiological assessments revealed two cystic pulmonary nodules in the right inferior lobe and no other organ involvement. The patient underwent a two-step surgery. Diagnosis was verified on histopathological examination. After the operation, medical treatment with albendazole (10 mg/kg/day) for three months was prescribed.Conclusion: Hydatid disease can be found in any skeletal muscle or, indeed, anywhere in the body. Due to its rarity and unusual location, diagnosis can be missed easily in a busy and crowded ER. Hydatid disease should be kept in mind in the differential diagnosis of all soft tissue lesions, even though they located in the muscle, particularly in endemic zones such as Turkey","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"19 1","pages":"61-63"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83603830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Sayhan, Ömer Salt, M. Ozcan, Volkan Mumcu, Burcu Filizay
Introduction: Fat embolism syndrome (FES) is a potentially lethal complication of long bone fractures and is commonly seen after femur fractures. The clinical manifestations of FES are as follows: petechiae, pulmonary dysfunction, mental status changes, tachycardia, fever, thrombocytopenia, and anemia. FES can result in multiorgan dysfunction such as that of the brain, skin, and lungs. In this case report, we present a rare case of FES after traumatic fracture of the tibia and fibula.Case Report: A 32-year-old male patient was admitted to our emergency department 18 h after a traffic accident. He was previously healthy and had no medical history. At initial examination, a right shoulder fracture and dislocation and left tibia and fibula open fractures were detected. Almost 2 h after admission, he started to complain of difficulty in breathing. At the same time, petechiae appeared on his chest wall. With these clinical features, FES was diagnosed.Conclusion: With the presentation of this case report, we aim to improve the awareness and knowledge of Emergency Physicians regarding FES, such that they might keep in mind the diagnosis of FES in patients admitted to emergency departments with a long bone fracture and respiratory impairment
{"title":"Fat Embolism Syndrome after Lower Extremity Fracture","authors":"M. Sayhan, Ömer Salt, M. Ozcan, Volkan Mumcu, Burcu Filizay","doi":"10.5152/JEMCR.2016.1485","DOIUrl":"https://doi.org/10.5152/JEMCR.2016.1485","url":null,"abstract":"Introduction: Fat embolism syndrome (FES) is a potentially lethal complication of long bone fractures and is commonly seen after femur fractures. The clinical manifestations of FES are as follows: petechiae, pulmonary dysfunction, mental status changes, tachycardia, fever, thrombocytopenia, and anemia. FES can result in multiorgan dysfunction such as that of the brain, skin, and lungs. In this case report, we present a rare case of FES after traumatic fracture of the tibia and fibula.Case Report: A 32-year-old male patient was admitted to our emergency department 18 h after a traffic accident. He was previously healthy and had no medical history. At initial examination, a right shoulder fracture and dislocation and left tibia and fibula open fractures were detected. Almost 2 h after admission, he started to complain of difficulty in breathing. At the same time, petechiae appeared on his chest wall. With these clinical features, FES was diagnosed.Conclusion: With the presentation of this case report, we aim to improve the awareness and knowledge of Emergency Physicians regarding FES, such that they might keep in mind the diagnosis of FES in patients admitted to emergency departments with a long bone fracture and respiratory impairment","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"15 1","pages":"64-66"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84322433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Derin, H. Beydilli, L. Şahan, E. Acar, M. Şahan, S. Erdogan
Introduction: Penetrating head and neck trauma associated with road accidents can cause significant morbidity and mortality because the neck contains many important structures of the vascular, respiratory, digestive, and neural systems.Case Report: In the present report, we present an example of a penetrating head and neck trauma caused by a tree branch, commencing in the temporal region and extending from the external auditory canal and retromandibular area during a car accident.Conclusion: In such cases, isolated auricular and external auditory canal injury is uncommon, and the aim should be to protect the integrity of the channel wall
{"title":"A Rare Case of Isolated Auricular Injury Caused by a Tree Branch During a Traffic Accident","authors":"S. Derin, H. Beydilli, L. Şahan, E. Acar, M. Şahan, S. Erdogan","doi":"10.5152/JEMCR.2016.1046","DOIUrl":"https://doi.org/10.5152/JEMCR.2016.1046","url":null,"abstract":"Introduction: Penetrating head and neck trauma associated with road accidents can cause significant morbidity and mortality because the neck contains many important structures of the vascular, respiratory, digestive, and neural systems.Case Report: In the present report, we present an example of a penetrating head and neck trauma caused by a tree branch, commencing in the temporal region and extending from the external auditory canal and retromandibular area during a car accident.Conclusion: In such cases, isolated auricular and external auditory canal injury is uncommon, and the aim should be to protect the integrity of the channel wall","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"57 1","pages":"43-45"},"PeriodicalIF":0.0,"publicationDate":"2016-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74693824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Aneurysmal bone cyst (ABC) is a non-neoplastic bone tumor of the skeletal system that occurs predominantly in children and young adults, accounting for 1–2% of all primary bone tumors. Any bone can be affected, but it uncommonly originates from the ribs. We present the case of a young girl with ABC arising from the 6th rib. Case Report: A 14-year-old girl was admitted to the Emergency Department with a 10-day history of gradually worsening leftsided back pain and swelling. The pain was constant and exacerbated by movement of rotating left upper hemithorax. She had no history of trauma or prior chest surgery, and her past medical history was unremarkable. A CT of the chest revealed lytic bone lesion at the 6th left rib. She underwent partial resection of the 6th rib with posterolateral incision without any need for reconstruction of the chest wall.Conclusion: Preoperative diagnosis of ABC could be difficult due to its rarity and the similarity with other lesions. Here, the essence of diagnosis is to exclude other causes, but the definitive diagnosis and treatment can be performed after en bloc resection. Although a rare cause of rib tumor, ABC should be kept in mind
{"title":"Aneurysmal Bone Cyst of Rib: A Report of a Rare Case","authors":"M. Çalık, S. Calik, M. Aygun, H. Esme","doi":"10.5152/JEMCR.2016.1508","DOIUrl":"https://doi.org/10.5152/JEMCR.2016.1508","url":null,"abstract":"Introduction: Aneurysmal bone cyst (ABC) is a non-neoplastic bone tumor of the skeletal system that occurs predominantly in children and young adults, accounting for 1–2% of all primary bone tumors. Any bone can be affected, but it uncommonly originates from the ribs. We present the case of a young girl with ABC arising from the 6th rib. Case Report: A 14-year-old girl was admitted to the Emergency Department with a 10-day history of gradually worsening leftsided back pain and swelling. The pain was constant and exacerbated by movement of rotating left upper hemithorax. She had no history of trauma or prior chest surgery, and her past medical history was unremarkable. A CT of the chest revealed lytic bone lesion at the 6th left rib. She underwent partial resection of the 6th rib with posterolateral incision without any need for reconstruction of the chest wall.Conclusion: Preoperative diagnosis of ABC could be difficult due to its rarity and the similarity with other lesions. Here, the essence of diagnosis is to exclude other causes, but the definitive diagnosis and treatment can be performed after en bloc resection. Although a rare cause of rib tumor, ABC should be kept in mind","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"12 1","pages":"49-50"},"PeriodicalIF":0.0,"publicationDate":"2016-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90955042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Avulsion fractures of the anterior inferior iliac spine (AIIS), anterior superior iliac spine (ASIS), tuberositas ischii, iliac apophysis, and reflected head of rectus occur in children because of apophyseal cartilage failure. In this report, we present two cases of avulsion fractures of the AIIS and tuberositas ischii. Case Report: Two amateur football players who are 15 and 16 years old presented to an emergency clinic with groin pain after kicking the ball during a football match. Their passive hip motions were normal, whereas active hip motions were painful and right groins were painful during deep palpation. Radiological examinations revealed avulsion fracture of AIIS in one patient and avulsion fracture of the tuber ischium in the other patient. We started analgesic treatment in both patients with them lying in the supine position with the hip in 45 degree flexion. Patients were mobilized after 2 weeks with elbow crutches. Four weeks later, we started active hip motions. Conclusion: Avulsion fractures of the ASIS and tuber ischiadicum are rare cases in adolescent sportsmen. These injuries can easily be overlooked or misdiagnosed. A delay in diagnosis may cause hip pain and lower the performance of sportsmen.
{"title":"Rarely Observed Sports Injuries: Two Case Reports","authors":"Erdal Uzun, T. B. Kizkapan, E. Bulbul","doi":"10.5152/JAEMCR.2015.812","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.812","url":null,"abstract":"Introduction: Avulsion fractures of the anterior inferior iliac spine (AIIS), anterior superior iliac spine (ASIS), tuberositas ischii, iliac apophysis, and reflected head of rectus occur in children because of apophyseal cartilage failure. In this report, we present two cases of avulsion fractures of the AIIS and tuberositas ischii. Case Report: Two amateur football players who are 15 and 16 years old presented to an emergency clinic with groin pain after kicking the ball during a football match. Their passive hip motions were normal, whereas active hip motions were painful and right groins were painful during deep palpation. Radiological examinations revealed avulsion fracture of AIIS in one patient and avulsion fracture of the tuber ischium in the other patient. We started analgesic treatment in both patients with them lying in the supine position with the hip in 45 degree flexion. Patients were mobilized after 2 weeks with elbow crutches. Four weeks later, we started active hip motions. Conclusion: Avulsion fractures of the ASIS and tuber ischiadicum are rare cases in adolescent sportsmen. These injuries can easily be overlooked or misdiagnosed. A delay in diagnosis may cause hip pain and lower the performance of sportsmen.","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"38 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87725703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.5152/JAEMCR.2015.1228
Morteza Saeedi, Amirhosein Jahanshir, F. Shirani, E. Karimi
Introduction: Although Bezold’s abscess is rarely seen as a complication of acute otitis media and mastoiditis in the antibiotic era, the number of reported cases has increased in the last 2 decades. Case Report: In this case report, we present a young man with a large Bezold’s abscess, which extended to his lower chest after 2 weeks of misdiagnosis. He underwent surgical treatment along with antibiotic therapy. He was discharged home after 2 weeks in a good condition.Conclusion: We emphasize on the role of having a high index of suspicion for Bezold’s abscess and performing a detailed physical examination in patients with signs and symptoms of acute otitis media and mastoiditis. It is better to have a low threshold for obtaining a computed tomography scan in these patients and diagnose the early stages of this potentially fatal condition
{"title":"Physical Examination still has the Leading Role: A Case of Bezold's Abscess","authors":"Morteza Saeedi, Amirhosein Jahanshir, F. Shirani, E. Karimi","doi":"10.5152/JAEMCR.2015.1228","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1228","url":null,"abstract":"Introduction: Although Bezold’s abscess is rarely seen as a complication of acute otitis media and mastoiditis in the antibiotic era, the number of reported cases has increased in the last 2 decades. Case Report: In this case report, we present a young man with a large Bezold’s abscess, which extended to his lower chest after 2 weeks of misdiagnosis. He underwent surgical treatment along with antibiotic therapy. He was discharged home after 2 weeks in a good condition.Conclusion: We emphasize on the role of having a high index of suspicion for Bezold’s abscess and performing a detailed physical examination in patients with signs and symptoms of acute otitis media and mastoiditis. It is better to have a low threshold for obtaining a computed tomography scan in these patients and diagnose the early stages of this potentially fatal condition","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"20 1","pages":"12-14"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87843474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.5152/JAEMCR.2015.1063
Tuba Şafak, A. Karabulut, Ş. K. Çorbacıoğlu, Y. Çevik
Introduction: Isoniazid (INH) is the primary drug that is widely used in the treatment of tuberculosis. Because of the decrease in the incidence of tuberculosis, the usage of INH and its associated intoxications have decreased with time. In this case, we present a patient who was admitted to the emergency department (ED) with seizure attack, wherein it could not be determined whether the cause of the seizure was INH poisoning or epidural hematoma.Case Report: A 26-year-old woman was brought to the emergency department because of self-poisoning with an over-dosage of INH. On arrival at the ED, she had a seizure. Arterial blood gas analysis revealed lactic acidosis and hyperglycemia. At the same time, she had a head trauma, and brain computed tomography demonstrated epidural hematoma; thus, 18 mg/kg phenytoin was initiated for seizure prophylaxis. Intravenous pyridoxine treatment was planned for intoxication of INH; however, the treatment was not available because of the absence of this drug in our local region. Conclusion: As in our case, if the patient is concurrently diagnosed with epidural hematoma in addition to INH poisoning, it can be difficult to discriminate the cause of seizure. Although lactic acidosis, hyperglycemia, and seizure were defined as a classical triad for INH poisoning, this triad can be observed in many types of seizures
{"title":"What is the Cause of Seizure: Isoniazid Poisoning or Epidural Hematoma? A Case Report","authors":"Tuba Şafak, A. Karabulut, Ş. K. Çorbacıoğlu, Y. Çevik","doi":"10.5152/JAEMCR.2015.1063","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1063","url":null,"abstract":"Introduction: Isoniazid (INH) is the primary drug that is widely used in the treatment of tuberculosis. Because of the decrease in the incidence of tuberculosis, the usage of INH and its associated intoxications have decreased with time. In this case, we present a patient who was admitted to the emergency department (ED) with seizure attack, wherein it could not be determined whether the cause of the seizure was INH poisoning or epidural hematoma.Case Report: A 26-year-old woman was brought to the emergency department because of self-poisoning with an over-dosage of INH. On arrival at the ED, she had a seizure. Arterial blood gas analysis revealed lactic acidosis and hyperglycemia. At the same time, she had a head trauma, and brain computed tomography demonstrated epidural hematoma; thus, 18 mg/kg phenytoin was initiated for seizure prophylaxis. Intravenous pyridoxine treatment was planned for intoxication of INH; however, the treatment was not available because of the absence of this drug in our local region. Conclusion: As in our case, if the patient is concurrently diagnosed with epidural hematoma in addition to INH poisoning, it can be difficult to discriminate the cause of seizure. Although lactic acidosis, hyperglycemia, and seizure were defined as a classical triad for INH poisoning, this triad can be observed in many types of seizures","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"4 1","pages":"3-5"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90620179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.5152/JAEMCR.2015.1251
T. Korkmaz, Nihat Pekel, Suveyda Yesilaras, D. Oray, C. Ertan
Introduction: There may be some cardiac and non-cardiac side effects of propafenone hydrochloride, which is a class IC antiarrhythmic agent used for medical cardioversion in atrial fibrillation and atrial flutter. Case Report: Propafenone hydrochloride (600 mg) was orally administered to a 74-year-old patient with tachycardia due to new-onset atrial fibrillation with rapid ventricular response. After 30 min, sinus bradycardia in response to atropine, swelling and numbness in the tongue, slurred speech, blurred vision, diplopia, spasm and contradiction at the right arm and leg, drowsiness, and visual hallucinations lasting for 24 h developed. The patient recovered without any sequel and was discharged from the coronary intensive care unit. Conclusion: Although propafenone hydrochloride is known to be safe at therapeutic doses, various possible multiple side effects should be considered
{"title":"Could Propafenone hydrochloride Cause Visual Hallucination","authors":"T. Korkmaz, Nihat Pekel, Suveyda Yesilaras, D. Oray, C. Ertan","doi":"10.5152/JAEMCR.2015.1251","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1251","url":null,"abstract":"Introduction: There may be some cardiac and non-cardiac side effects of propafenone hydrochloride, which is a class IC antiarrhythmic agent used for medical cardioversion in atrial fibrillation and atrial flutter. Case Report: Propafenone hydrochloride (600 mg) was orally administered to a 74-year-old patient with tachycardia due to new-onset atrial fibrillation with rapid ventricular response. After 30 min, sinus bradycardia in response to atropine, swelling and numbness in the tongue, slurred speech, blurred vision, diplopia, spasm and contradiction at the right arm and leg, drowsiness, and visual hallucinations lasting for 24 h developed. The patient recovered without any sequel and was discharged from the coronary intensive care unit. Conclusion: Although propafenone hydrochloride is known to be safe at therapeutic doses, various possible multiple side effects should be considered","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"24 1","pages":"17-19"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74755456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Heimlich maneuver is one of the first-aid maneuvers administered when the upper airway obstruction symptoms develop. Case Report: A 33-year-old female patient presented with sternum fracture due to the Heimlich maneuver.Conclusion: Sternal fracture can be developed after the Heimlich maneuver. In addition, the importance of bedside ultrasonography in the detection of fractures in the emergency department was highlighted
{"title":"Complications of the Heimlich Maneuver: Isolated Sternum Fracture","authors":"H. Ülger","doi":"10.5152/JAEMCR.2015.999","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.999","url":null,"abstract":"Introduction: Heimlich maneuver is one of the first-aid maneuvers administered when the upper airway obstruction symptoms develop. Case Report: A 33-year-old female patient presented with sternum fracture due to the Heimlich maneuver.Conclusion: Sternal fracture can be developed after the Heimlich maneuver. In addition, the importance of bedside ultrasonography in the detection of fractures in the emergency department was highlighted","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"106 1","pages":"15-16"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88003405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2016-01-01DOI: 10.5152/JAEMCR.2015.1071
A. Kayipmaz, E. Çelikel, E. Hasırcı, Ö. Azap, C. Uysal
Introduction: Necrotizing fasciitis is a serious infection of the subcutaneous tissue and fascia. Despite being rare, it may have a high mortality rate because it usually leads to rapidly progressing fascial necrosis. The purpose of this study was to report a case of early stage necrotizing fasciitis that developed after cryotherapy for a penile condyloma, 19 days before the index emergency department admission. Case Report: A 32-year-old man without any history of systemic disorder was admitted to our emergency department for groin swelling and burning sensation that developed 12 hours before his hospital admission. Edema and hyperemia starting from the left inguinal region and extending to the penis and scrotum were noted on physical examination. While initially being considered a case of early stage necrotizing fasciitis and tested for it, the patient rapidly developed a bulla and entered intermediate stage. We hospitalized the patient with an initial diagnosis of necrotizing fasciitis and initiated dual antibiotic therapy. Furthermore, we debrided the wound and excised the necrotic tissue debris. We discharged the patient on the 12th day. Conclusion: Clinical suspicion should be high for necrotizing fasciitis in emergency. Initiating the most appropriate medical and surgical therapy as soon as the diagnosis is made is the key for preventing mortality and morbidity
{"title":"A Case of Necrotizing Fasciitis after Cryotherapy","authors":"A. Kayipmaz, E. Çelikel, E. Hasırcı, Ö. Azap, C. Uysal","doi":"10.5152/JAEMCR.2015.1071","DOIUrl":"https://doi.org/10.5152/JAEMCR.2015.1071","url":null,"abstract":"Introduction: Necrotizing fasciitis is a serious infection of the subcutaneous tissue and fascia. Despite being rare, it may have a high mortality rate because it usually leads to rapidly progressing fascial necrosis. The purpose of this study was to report a case of early stage necrotizing fasciitis that developed after cryotherapy for a penile condyloma, 19 days before the index emergency department admission. Case Report: A 32-year-old man without any history of systemic disorder was admitted to our emergency department for groin swelling and burning sensation that developed 12 hours before his hospital admission. Edema and hyperemia starting from the left inguinal region and extending to the penis and scrotum were noted on physical examination. While initially being considered a case of early stage necrotizing fasciitis and tested for it, the patient rapidly developed a bulla and entered intermediate stage. We hospitalized the patient with an initial diagnosis of necrotizing fasciitis and initiated dual antibiotic therapy. Furthermore, we debrided the wound and excised the necrotic tissue debris. We discharged the patient on the 12th day. Conclusion: Clinical suspicion should be high for necrotizing fasciitis in emergency. Initiating the most appropriate medical and surgical therapy as soon as the diagnosis is made is the key for preventing mortality and morbidity","PeriodicalId":14780,"journal":{"name":"Journal of Academic Emergency Medicine Case Reports","volume":"38 1","pages":"6-8"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88484449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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