Open AccessChemical Necrotising Fasciitis Secondary to Self‐Injection of Permethrin Insecticide
Author(s) -
Wong OF,
Tsang PHK,
Ng HL,
Lee HM,
Koo CK,
Lam SK
Publication year - 2011
Publication title -
hong kong journal of emergency medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.145
H-Index - 12
eISSN - 2309-5407
pISSN - 1024-9079
DOI - 10.1177/102490791101800613
Subject(s) - necrotising fasciitis , medicine , permethrin , debridement (dental) , surgery , skin grafting , dermatology , fasciitis , toxicology , pesticide , agronomy , biology
We report a 65‐year‐old male with chemical necrotising fasciitis after self‐injection of permethrin insecticide. The patient also developed persistent hypoglycemia secondary to massive insulin overdose. There was no evidence of systemic toxicities from the insecticide poisoning. Multiple debridement and skin grafting were performed over his right forearm due to extensive tissue damage. He eventually recovered with impairment of his right hand function. The clinical features and the management of this uncommon route of insecticide poisoning are discussed. (Hong Kong j.emerg.med. 2011;18:441‐445)