TY  - CHAP
M1  - Book, Section
TI  - Chapter 122. Necrotizing Fasciitis
A1  - Usatine, Richard P.
A1  - Smith, Mindy A.
A1  - Chumley, Heidi S.
A1  - Mayeaux, E.J.
Y1  - 2013
N1  - 
T2  - The Color Atlas of Family Medicine, 2e
AB  - A  54-year-old  woman  with  diabetes  was  brought  to  the  emergency  department  with  right  leg  swelling,  fever,  and  altered  mental  status.1  The  patient  noted  a  pimple  in  her  groin  5  days  earlier  and  over  the  past  few  days  had  increasing  leg  pain.  Her  right  leg  was  tender,  red,  hot,  and  swollen  (Figure  122-1).  Large  bullae  were  present.  Her  temperature  was  38.9°C  (102°F)  and  her  blood  sugar  was  573.  The  skin  had  a  “woody”  feel  and  a  radiograph  of  her  leg  showed  gas  in  the  muscles  and  soft  tissues  (Figure  122-2).  She  was  taken  to  the  operating  room  for  debridement  of  her  necrotizing  fasciitis.  Broad-spectrum  antibiotics  were  also  started  but  the  infection  continued  to  advance  quickly.  The  patient  died  the  following  day;  her  wound  culture  later  grew  Escherichia  coli,  Proteus  vulgaris,  Corynebacterium,  Enterococcus,  Staphylococcus  sp.,  and  Peptostreptococcus.1  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57677602
ER  -