Necrotizing fasciitis after intramuscular self-injection: A case report
Nuri Emrah Goret 1, Ceren Canbey Goret 2, Omer Faruk Ozkan 3
Affiliations
Article Info
1 Department of General Surgery, Health Sciences University, Kartal Dr Lutfi Kırdar Research and Education Hospital, Istanbul, Turkey
2 Department of Surgical Pathology, Health Sciences University, Sancaktepe Research and Education Hospital, Istanbul, Turkey
3 Department of General Surgery, Health Sciences University, Umraniye Research and Education Hospital, Istanbul, Turkey
Abstract
Necrotizing fasciitis (NF) is a rare, life-threatening soft tissue infection that affects the skin, subcutaneous tissue, fascia, and muscle, and is characterized by rapid spread and invasion of pathogens. Treatment is possible with early diagnosis, appropriate antibiotic therapy, and quick surgical intervention. Nevertheless, despite all interventions, it is sometimes difficult to manage NF. The Authors present the case of a patient with extensive NF caused by multidrug-resistant Acinetobacter baumannii (A. baumannii) that developed following an intramuscular injection of diclofenac sodium administered at home by someone who was not a healthcare professional. Wound sample culture revealed multidrug-resistant A. baumannii. The patient was treated using negative-pressure wound therapy along with antibiotic treatment and extensive surgical debridement.
Keywords
- Multidrug-resistant acinetobacter baumannii
- Necrotizing fasciitis
- Negative-pressurelf-injection
- Wound therapy
