Cabral Amado, Filipa and Noversa, Carlos and Moura, Andreia and Carvalho, Luís and Cardoso, Leila (2020) Necrotizing Fasciitis Causing Acute Compartment Syndrome after Radial Artery Catheterization. European Journal of Case Reports in Internal Medicine, 7 (4). ISSN 2284-2594
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Abstract
Necrotizing fasciitis is a rare but potentially fatal infection involving the subcutaneous tissue and fascia with the development of necrosis of these structures. Acute compartment syndrome occurs when increased pressure within a closed muscle compartment compromises the circulation and function of the tissues within that space. We report the case of a male patient who was admitted to the intensive care unit for the management of urosepsis due to an acute obstructive pyelonephritis complicated by cardiopulmonary arrest. A radial arterial catheter in the left arm was urgently inserted, under suboptimal aseptic technique. His clinical condition progressively deteriorated, and swelling of the left arm with extension to the forearm with incipient signs of compromised perfusion were observed. The diagnosis of necrotizing fasciitis with acute compartment syndrome was made and an emergency fasciectomy performed. Following this, the patient gradually improved, organ dysfunction resolved, and he was discharged without sequelae.
| Item Type: | Article |
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| Uncontrolled Keywords: | Necrotizing fasciitis, acute compartment syndrome, arterial catheterization |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 19 Nov 2020 10:16 |
| Last Modified: | 19 Nov 2020 10:16 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/19955 |
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