Article ; Online: Leclercia adecarboxylata
BMJ case reports
2020 Volume 13, Issue 9
Abstract: A 72-year-old woman presented with concern for a necrotising soft tissue infection (NSTI) 6 days after a tree branch impaled her left lower extremity while hiking in Hawaii. The wound was irrigated and closed at a local clinic in Hawaii. She completed a ... ...
Abstract | A 72-year-old woman presented with concern for a necrotising soft tissue infection (NSTI) 6 days after a tree branch impaled her left lower extremity while hiking in Hawaii. The wound was irrigated and closed at a local clinic in Hawaii. She completed a 5-day course of clindamycin. She presented to our emergency department 1 day after completion of antibiotics due to worsening erythema and malodorous drainage. Local wound exploration revealed bullae and easy dissection of fascial planes. CT scan revealed complex heterogeneous fluid and inflammatory stranding in the posterior calf. Clinical and radiographic findings raised concern for NSTI prompting initiation of broad spectrum antibiotics and urgent operative debridement. Wound cultures and deep tissues cultures returned positive for pansusceptible |
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MeSH term(s) | Aged ; Anti-Bacterial Agents/therapeutic use ; Clindamycin/therapeutic use ; Debridement ; Drainage ; Enterobacteriaceae/pathogenicity ; Enterobacteriaceae Infections/diagnosis ; Enterobacteriaceae Infections/therapy ; Fasciitis, Necrotizing/diagnosis ; Fasciitis, Necrotizing/therapy ; Female ; Humans ; Negative-Pressure Wound Therapy ; Soft Tissue Infections/diagnosis ; Soft Tissue Infections/therapy |
Chemical Substances | Anti-Bacterial Agents ; Clindamycin (3U02EL437C) |
Language | English |
Publishing date | 2020-09-29 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ISSN | 1757-790X |
ISSN (online) | 1757-790X |
DOI | 10.1136/bcr-2020-235633 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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