Overcoming challenges in managing necrotizing fasciitis in an elderly woman with COVID 19 disease | Zendy

H. L. D. S. Ariyaratne | Zendy; N. D. T. Kiribathgoda | Zendy; K. D. Fernando | Zendy

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Overcoming challenges in managing necrotizing fasciitis in an elderly woman with COVID 19 disease

Author(s) -

H. L. D. S. Ariyaratne,

N. D. T. Kiribathgoda,

K. D. Fernando

Publication year - 2020

Publication title -

sri lanka journal of surgery/sri lanka journal of surgery

Language(s) - English

Resource type - Journals

eISSN - 2279-2201

pISSN - 0379-8240

DOI - 10.4038/sljs.v38i1.8692

Subject(s) - medical journal , sri lanka , medicine , covid-19 , peer review , political science , medical education , public relations , family medicine , disease , sociology , infectious disease (medical specialty) , law , pathology , ethnology , south asia

On the second day of stay in the NIID, she developed features of cellulitis of the right leg. Routine investigations revealed grossly elevated inflammatory markers with hypoalbuminaemia. Despite being on antibiotic treatment with intravenous meropenem 1g TDS, clindamycin 600mg TDS and flucloxacillin 500mg QDS, her affected leg developed worsening cellulitis with haemorrhagic blistering and necrotic patches. At this point a surgical referral was done and the patient was transferred.

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