ABSTRACT
Necrotizing fasciitis is an uncommon fatal soft-tissue infection that is rapid and very destructive. It destroys the connective tissue between the skin and muscle. The microbiological causes of necrotizing fasciitis include mixed aerobic and anaerobic bacteria and group A streptococcus. Various host factors predispose to necrotizing fasciitis. Particularly, patients with diabetes mellitus, peripheral vascular disease, immunosuppression, advanced age, and intravenous drug abuse are at risk. The diagnosis of necrotizing fasciitis is based on a single or combination of clinical indicators, laboratory and radiological studies, and surgical biopsy. The prognosis for necrotizing fasciitis depends on early recognition and determination of the extent of necrosis. Here, a case of necrotizing fasciitis of the abdomen secondary to a renal biopsy, a rare complication, is reported.
Subject(s)
Humans , Abdomen , Abdominal Wall , Bacteria, Anaerobic , Biopsy , Connective Tissue , Diabetes Mellitus , Fasciitis , Fasciitis, Necrotizing , Immunosuppression Therapy , Muscles , Necrosis , Needles , Nephrotic Syndrome , Peripheral Vascular Diseases , Prognosis , Skin , Streptococcus , Substance Abuse, IntravenousABSTRACT
Typhoid fever often manifests hepatic involvement but pleural involvement has rarely been reported to occur as a complication of typhoid fever. One case of typhoid pleurisy, in which Salmonella was isolated from the blood, is presented with the brief review of the literature. A 44 year old female was admitted to the hospital because of high fever, abdominal pain. Typhoid fever was diagnosed by blood culture, Widal test, and liver function test. Chest X-ray and pleural effusion examination demonstrated pleurisy. With the administration of ceftriaxone and pleural aspiration, she became afebrile with subsidence of pleural effusion.
Subject(s)
Adult , Female , Humans , Abdominal Pain , Ceftriaxone , Fever , Hepatitis , Liver Function Tests , Pleural Effusion , Pleurisy , Salmonella , Thorax , Typhoid FeverABSTRACT
Typhoid fever often manifests hepatic involvement but pleural involvement has rarely been reported to occur as a complication of typhoid fever. One case of typhoid pleurisy, in which Salmonella was isolated from the blood, is presented with the brief review of the literature. A 44 year old female was admitted to the hospital because of high fever, abdominal pain. Typhoid fever was diagnosed by blood culture, Widal test, and liver function test. Chest X-ray and pleural effusion examination demonstrated pleurisy. With the administration of ceftriaxone and pleural aspiration, she became afebrile with subsidence of pleural effusion.