A case report: Community-acquired Pseudomonas aeruginosa necrotizing fasciitis in a morbidly obese diabetic young man can be fatal
We present a case study of a 26-year-old morbidly obese man with a three-day history of right leg pain and swelling. The swelling was associated with low grade fever. He was alert and conscious upon presentation to the hospital. His physical examination showed gross swelling of the entire right lowe...
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doaj-5116dc2a64c2408cbef705175adde28e2021-07-02T17:38:43ZengElsevierIDCases2214-25092020-01-0122e01001A case report: Community-acquired Pseudomonas aeruginosa necrotizing fasciitis in a morbidly obese diabetic young man can be fatalMohd Zulfakar Mazlan0Huda Zainal Abidin1Wan Mohd Nazaruddin Wan Hassan2Nik Abdullah Nik Mohamad3Zeti Norfidiyati Salmuna4Kamaruddin Ibrahim5Mahamarowi Omar6Mohd Hafiz Abdul-Aziz7Department of Anesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kota Bharu, Kelantan, Malaysia; Corresponding author.Department of Anesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kota Bharu, Kelantan, MalaysiaDepartment of Anesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kota Bharu, Kelantan, MalaysiaDepartment of Anesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kota Bharu, Kelantan, MalaysiaDepartment of Microbiology and Parasitology, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kota Bharu, Kelantan, MalaysiaDepartment of Anesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kota Bharu, Kelantan, MalaysiaDepartment of Anesthesiology and Intensive Care, School of Medical Sciences, Universiti Sains Malaysia, Health Campus, 16150, Kota Bharu, Kelantan, MalaysiaTrauma and Critical Care Research Centre (BTCCRC),University of Queensland, Brisbane QLD 4072, AustraliaWe present a case study of a 26-year-old morbidly obese man with a three-day history of right leg pain and swelling. The swelling was associated with low grade fever. He was alert and conscious upon presentation to the hospital. His physical examination showed gross swelling of the entire right lower limb with no systemic manifestations. There was no discharge and bullae from the swelling area of the leg. He had high blood sugar and was newly diagnosed with type 2 diabetes mellitus. He was diagnosed with necrotizing fasciitis. An intravenous imipenem-cilastatin 500 mg every 6 h together with clindamycin 900 mg every 8 h was started empirically. Extensive wound debridement was performed. The swab culture obtained intraoperatively grew Pseudomonas aeruginosa. He required an above knee amputation due to worsening infection despite wound debridement. Post-operatively, he developed acute kidney injury with severe metabolic acidosis, which required daily hemodialysis. However, the patient deteriorated due to septic shock with multi-organ failure, resulting in his death.http://www.sciencedirect.com/science/article/pii/S2214250920303097Pseudomonas aeuroginosaCommunity acquiredNecrotizing fasciitis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mohd Zulfakar Mazlan Huda Zainal Abidin Wan Mohd Nazaruddin Wan Hassan Nik Abdullah Nik Mohamad Zeti Norfidiyati Salmuna Kamaruddin Ibrahim Mahamarowi Omar Mohd Hafiz Abdul-Aziz |
spellingShingle |
Mohd Zulfakar Mazlan Huda Zainal Abidin Wan Mohd Nazaruddin Wan Hassan Nik Abdullah Nik Mohamad Zeti Norfidiyati Salmuna Kamaruddin Ibrahim Mahamarowi Omar Mohd Hafiz Abdul-Aziz A case report: Community-acquired Pseudomonas aeruginosa necrotizing fasciitis in a morbidly obese diabetic young man can be fatal IDCases Pseudomonas aeuroginosa Community acquired Necrotizing fasciitis |
author_facet |
Mohd Zulfakar Mazlan Huda Zainal Abidin Wan Mohd Nazaruddin Wan Hassan Nik Abdullah Nik Mohamad Zeti Norfidiyati Salmuna Kamaruddin Ibrahim Mahamarowi Omar Mohd Hafiz Abdul-Aziz |
author_sort |
Mohd Zulfakar Mazlan |
title |
A case report: Community-acquired Pseudomonas aeruginosa necrotizing fasciitis in a morbidly obese diabetic young man can be fatal |
title_short |
A case report: Community-acquired Pseudomonas aeruginosa necrotizing fasciitis in a morbidly obese diabetic young man can be fatal |
title_full |
A case report: Community-acquired Pseudomonas aeruginosa necrotizing fasciitis in a morbidly obese diabetic young man can be fatal |
title_fullStr |
A case report: Community-acquired Pseudomonas aeruginosa necrotizing fasciitis in a morbidly obese diabetic young man can be fatal |
title_full_unstemmed |
A case report: Community-acquired Pseudomonas aeruginosa necrotizing fasciitis in a morbidly obese diabetic young man can be fatal |
title_sort |
case report: community-acquired pseudomonas aeruginosa necrotizing fasciitis in a morbidly obese diabetic young man can be fatal |
publisher |
Elsevier |
series |
IDCases |
issn |
2214-2509 |
publishDate |
2020-01-01 |
description |
We present a case study of a 26-year-old morbidly obese man with a three-day history of right leg pain and swelling. The swelling was associated with low grade fever. He was alert and conscious upon presentation to the hospital. His physical examination showed gross swelling of the entire right lower limb with no systemic manifestations. There was no discharge and bullae from the swelling area of the leg. He had high blood sugar and was newly diagnosed with type 2 diabetes mellitus. He was diagnosed with necrotizing fasciitis. An intravenous imipenem-cilastatin 500 mg every 6 h together with clindamycin 900 mg every 8 h was started empirically. Extensive wound debridement was performed. The swab culture obtained intraoperatively grew Pseudomonas aeruginosa. He required an above knee amputation due to worsening infection despite wound debridement. Post-operatively, he developed acute kidney injury with severe metabolic acidosis, which required daily hemodialysis. However, the patient deteriorated due to septic shock with multi-organ failure, resulting in his death. |
topic |
Pseudomonas aeuroginosa Community acquired Necrotizing fasciitis |
url |
http://www.sciencedirect.com/science/article/pii/S2214250920303097 |
work_keys_str_mv |
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