A Case of Necrotizing Fasciitis That Rapidly Progressed after a Minor Injury

Necrotizing fasciitis is a rare, severe, life-threatening, and rapidly progressing infection characterized by necrosis of the fascia and subcutaneous tissue with systemic toxicity. In this study, we report a male patient with only controlled hypertension who was diagnosed with necrotizing fasciitis of his middle finger after sustaining a kitchen knife injury. Successful treatment involved amputating the third finger at the level of the medial proximal phalanx due to the severe and rapid progression of symptoms and the elevated risk of <i>Vibrio spp</i>. and <i>Staphylococcus spp</i>. causing necrotizing fasciitis, considering the patient's profession as a cook and his being immunocompetent. The patient was able to resume a working life after a short hospitalization without any severe complications. This is a reminder that even a minor injury can result in a life-threatening infection. Early surgical intervention saved the patient's life, eliminated the need for reoperation, and shortened the hospitalization.

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Publication Details

Journal
Journal of Plastic and Reconstructive Surgery
Published
2024-10-10
DOI
https://doi.org/10.53045/jprs.2024-0012
Citations
1
Primary Topic
Streptococcal Infections and Treatments
Type
article
Field-Weighted Citation Impact
0.54
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article

A Case of Necrotizing Fasciitis That Rapidly Progressed after a Minor Injury

Hiroshi Mizuno, Mayu Hosio, Azusa Shimizu
1 citations
Journal of Plastic and Reconstructive Surgery
Streptococcal Infections and Treatments
0.54
article

A Case of Necrotizing Fasciitis That Rapidly Progressed after a Minor Injury

Hiroshi Mizuno, Mayu Hosio, Azusa Shimizu
article en
1 citations

Abstract

Necrotizing fasciitis is a rare, severe, life-threatening, and rapidly progressing infection characterized by necrosis of the fascia and subcutaneous tissue with systemic toxicity. In this study, we report a male patient with only controlled hypertension who was diagnosed with necrotizing fasciitis of his middle finger after sustaining a kitchen knife injury. Successful treatment involved amputating the third finger at the level of the medial proximal phalanx due to the severe and rapid progression of symptoms and the elevated risk of <i>Vibrio spp</i>. and <i>Staphylococcus spp</i>. causing necrotizing fasciitis, considering the patient's profession as a cook and his being immunocompetent. The patient was able to resume a working life after a short hospitalization without any severe complications. This is a reminder that even a minor injury can result in a life-threatening infection. Early surgical intervention saved the patient's life, eliminated the need for reoperation, and shortened the hospitalization.

Journal of Plastic and Reconstructive SurgeryVol. 4(3)
Juntendo University (JP)
Openalex Percentile: Top 28%
Streptococcal Infections and Treatments
0.54
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