Risk Factors and Predictors of Outcome for Necrotising Fasciitis

Background:Necrotising fasciitis(NF) is one of the most fulminant infec?on of skin and so? ?ssue. It is a fatal rapidly progressing disease causing Mul? organ Dysfunc?on syndrome (MODS), sep?c shock & death if not iden?fied early & treated accordingly. The aim is to study risk factors associated with NF and predictors of outcome. Se?ngs & design: Prospec?ve observa?onal study in a single ter?ary care center. Materials and Methods:Prospec?ve analysis of pa?ents with NF from March 2018 – August 2019 was done. The known risk factors were studied. Results: A Total 120 pa?ents were reviewed. Out of which 81 (67.5%) were males and 39 (32.5%) were females. The mortality rate in our study was 14.16%. It was significantly high in pa?ents with CRF (p 0.045), HIV (p <0.001), Diabetes with other risk factors (p 0.003),BSA > 10% (p <0.01), Type 3 culture (0.027),LRINEC score >6 (p 0.015). Conclusion:NF in pa?ents with known risk factors progresses rapidly, so aggressive treatment should be given at the earliest. Early iden?fica?on & prompt interven?on is the key for be?er survival outcome in NF.

Image-Guided Retrieval Of Foreign Body In The Abdomen - A Case Report

The presence of retained surgical blade as a foreign body is uncommon and poses significant patient safety challenge issues. Most common etiologies for the presence of such foreign bodies are accidental, traumatic, or iatrogenic. Here, we report a successful management of the case with a rare foreign body in the abdomen, that is, surgical blade accidentally left during pigtail procedure of the liver abscess. Most of the iatrogenic injuries are preventable. In our case, a misfit of a blade in the handle might have been responsible for the complication. The use of radiological guidance for localization and removal of the foreign bodies embedded in the soft tissues is well established. With imaging guidance retrieval of a foreign body in the abdomen, laparotomy was prevented and facilitated early recovery.

Burkitt Lymphoma Presenting As Intussusception In An Adult: A Rare Entity

Intussusception is uncommon among adults. Burkitt lymphoma (BL) of the intestine is a rare entity. It is more common in lymphoid organs, tonsils, and in the midline. Here, we report the case of a 28-year-old man who presented as an ileocolic intussusception. A resection of the specimen was done which was suggestive of BL. Adjuvant treatment in the form of chemotherapy regimen R-EPOCH comprising rituximab, vincristine, cyclophosphamide, doxorubicin, and oral prednisolone was given.