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Necrotizing fasciitis of thigh associated with E scherichia C oli bacteremia in a patient on chronic hemodialysis
Author(s) -
Liu ChungTe,
Chen YenCheng,
Chen TsoHsiao,
Ou TsongYih
Publication year - 2012
Publication title -
hemodialysis international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.658
H-Index - 47
eISSN - 1542-4758
pISSN - 1492-7535
DOI - 10.1111/j.1542-4758.2011.00658.x
Subject(s) - fasciitis , medicine , hemodialysis , bacteremia , septic shock , surgery , debridement (dental) , thigh , sepsis , antibiotics , microbiology and biotechnology , biology
Necrotizing fasciitis is a lethal soft tissue infection for its rapid progression to septic shock. We present a 59‐year‐old male on chronic hemodialysis ( HD ). We made the diagnosis of necrotizing fasciitis of the right thigh due to the crepitus from physical examination and subcutaneous emphysema from an X film. He was successfully treated with antibiotics and surgical debridement. The blood and surgical drainage cultures showed E scherichia coli , which is less commonly seen in cutaneous infection. The colonoscopic finding revealed adenomatous polyps. Necrotizing fasciitis in patients on HD requires early diagnosis and aggressive treatment to ensure the favorable clinical outcomes.