Necrotizing fasciitis of thigh associated with Escherichia Coli bacteremia in a patient on chronic hemodialysis

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Abstract

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 Escherichia 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.

Original languageEnglish
Pages (from-to)564-567
Number of pages4
JournalHemodialysis International
Volume16
Issue number4
DOIs
Publication statusPublished - Oct 2012

Keywords

  • Colonic adenomatous polyp
  • Escherichia coli
  • Hemodialysis
  • Necrotizing fasciitis
  • Uremia

ASJC Scopus subject areas

  • Hematology
  • Nephrology

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