Tube Thoracostomy-Related Necrotizing Fasciitis: A Case Report
Spontaneous pneumothorax is a serious complication of pulmonary tuberculosis that requires immediate treatment. Necrotizing fasciitis is a serious, rapidly progressive infection of the subcutaneous tissue and fascia, most related to trauma or surgery. Here, we report a case of pulmonary tuberculosis...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2006-12-01
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| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1607551X09703651 |
| _version_ | 1818285827205103616 |
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| author | Shun-Pin Hsu Hong-Chung Wang I-T Huang Kuo-An Chu Huang-Chou Chang |
| author_facet | Shun-Pin Hsu Hong-Chung Wang I-T Huang Kuo-An Chu Huang-Chou Chang |
| author_sort | Shun-Pin Hsu |
| collection | DOAJ |
| description | Spontaneous pneumothorax is a serious complication of pulmonary tuberculosis that requires immediate treatment. Necrotizing fasciitis is a serious, rapidly progressive infection of the subcutaneous tissue and fascia, most related to trauma or surgery. Here, we report a case of pulmonary tuberculosis with spontaneous pneumothorax. A standard procedure of tube thoracostomy was performed for lung re-expansion. Two days after the tube was removed, necrotizing fasciitis developed from the puncture site. Computed tomography of the chest showed focal thickness with gas formation and loss of the fat plane over the chest wall, which is compatible with the diagnosis of necrotizing fasciitis. Aggressive treatment was given, including emergency fasciectomy and adequate systemic antibiotic and antituberculous treatment. The necrotizing fasciitis was successfully treated. The patient was discharged and sent home with maintenance antituberculous therapy. |
| first_indexed | 2024-12-13T01:14:53Z |
| format | Article |
| id | doaj.art-2c5b4c59b3af4220b491bfdc0a0ff85f |
| institution | Directory Open Access Journal |
| issn | 1607-551X |
| language | English |
| last_indexed | 2024-12-13T01:14:53Z |
| publishDate | 2006-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-2c5b4c59b3af4220b491bfdc0a0ff85f2022-12-22T00:04:22ZengWileyKaohsiung Journal of Medical Sciences1607-551X2006-12-01221263664010.1016/S1607-551X(09)70365-1Tube Thoracostomy-Related Necrotizing Fasciitis: A Case ReportShun-Pin Hsu0Hong-Chung Wang1I-T Huang2Kuo-An Chu3Huang-Chou Chang4Division of Chest Medicine, Department of Internal Medicine, Taipei, TaiwanDivision of Chest Medicine, Department of Internal Medicine, Taipei, TaiwanDivision of Chest Medicine, Department of Internal Medicine, Taipei, TaiwanDivision of Chest Medicine, Department of Internal Medicine, Taipei, TaiwanDivision of Thoracic Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taipei, TaiwanSpontaneous pneumothorax is a serious complication of pulmonary tuberculosis that requires immediate treatment. Necrotizing fasciitis is a serious, rapidly progressive infection of the subcutaneous tissue and fascia, most related to trauma or surgery. Here, we report a case of pulmonary tuberculosis with spontaneous pneumothorax. A standard procedure of tube thoracostomy was performed for lung re-expansion. Two days after the tube was removed, necrotizing fasciitis developed from the puncture site. Computed tomography of the chest showed focal thickness with gas formation and loss of the fat plane over the chest wall, which is compatible with the diagnosis of necrotizing fasciitis. Aggressive treatment was given, including emergency fasciectomy and adequate systemic antibiotic and antituberculous treatment. The necrotizing fasciitis was successfully treated. The patient was discharged and sent home with maintenance antituberculous therapy.http://www.sciencedirect.com/science/article/pii/S1607551X09703651necrotizing fasciitispneumothoraxpulmonary tuberculosistube thoracostomy |
| spellingShingle | Shun-Pin Hsu Hong-Chung Wang I-T Huang Kuo-An Chu Huang-Chou Chang Tube Thoracostomy-Related Necrotizing Fasciitis: A Case Report Kaohsiung Journal of Medical Sciences necrotizing fasciitis pneumothorax pulmonary tuberculosis tube thoracostomy |
| title | Tube Thoracostomy-Related Necrotizing Fasciitis: A Case Report |
| title_full | Tube Thoracostomy-Related Necrotizing Fasciitis: A Case Report |
| title_fullStr | Tube Thoracostomy-Related Necrotizing Fasciitis: A Case Report |
| title_full_unstemmed | Tube Thoracostomy-Related Necrotizing Fasciitis: A Case Report |
| title_short | Tube Thoracostomy-Related Necrotizing Fasciitis: A Case Report |
| title_sort | tube thoracostomy related necrotizing fasciitis a case report |
| topic | necrotizing fasciitis pneumothorax pulmonary tuberculosis tube thoracostomy |
| url | http://www.sciencedirect.com/science/article/pii/S1607551X09703651 |
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