The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.16/2727 |
Resumo: | Background: Necrotizing soft tissue infections are associated with high morbidity and mortality, even when the correct treatment is initiated. The diagnosis of these conditions is hard and the most sensitive methods are time-consuming, expensive and not readily available. Point-of-care ultrasound can complement clinical evaluation to increase the diagnostic accuracy. Case presentation: We bring a case of a woman, without comorbidities, who presented to the emergency department with signs of soft tissue infection. Bedside ultrasound showed subcutaneous tissue thickening, with fluid accumulation, and subcutaneous gas in the affected area. Based on the clinical suspicion and the ultrasound findings, the patient underwent prompt medical treatment and surgical debridement. Conclusions: This case shows the utility of bedside ultrasound for the decision-making process in a disease where an early diagnosis is important. This information should always be used together with the clinical judgement, as it has a relative low sensitivity. |
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The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infectionsDiagnostic imagingEmergency MedicinePoint-of-care testingSoft tissue infectionsUltrasonographyBackground: Necrotizing soft tissue infections are associated with high morbidity and mortality, even when the correct treatment is initiated. The diagnosis of these conditions is hard and the most sensitive methods are time-consuming, expensive and not readily available. Point-of-care ultrasound can complement clinical evaluation to increase the diagnostic accuracy. Case presentation: We bring a case of a woman, without comorbidities, who presented to the emergency department with signs of soft tissue infection. Bedside ultrasound showed subcutaneous tissue thickening, with fluid accumulation, and subcutaneous gas in the affected area. Based on the clinical suspicion and the ultrasound findings, the patient underwent prompt medical treatment and surgical debridement. Conclusions: This case shows the utility of bedside ultrasound for the decision-making process in a disease where an early diagnosis is important. This information should always be used together with the clinical judgement, as it has a relative low sensitivity.SpringerRepositório Científico do Centro Hospitalar Universitário de Santo AntónioMagalhães, LuísMartins, Sara Raquel PereiraNogué, Ramon2022-07-14T14:42:16Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.16/2727engMagalhães L, Martins SRP, Nogué R. The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections. Ultrasound J. 2020;12(1):3. doi:10.1186/s13089-020-0153-42524-898710.1186/s13089-020-0153-4info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-10-20T11:02:01Zoai:repositorio.chporto.pt:10400.16/2727Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T20:38:55.035377Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections |
title |
The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections |
spellingShingle |
The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections Magalhães, Luís Diagnostic imaging Emergency Medicine Point-of-care testing Soft tissue infections Ultrasonography |
title_short |
The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections |
title_full |
The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections |
title_fullStr |
The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections |
title_full_unstemmed |
The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections |
title_sort |
The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections |
author |
Magalhães, Luís |
author_facet |
Magalhães, Luís Martins, Sara Raquel Pereira Nogué, Ramon |
author_role |
author |
author2 |
Martins, Sara Raquel Pereira Nogué, Ramon |
author2_role |
author author |
dc.contributor.none.fl_str_mv |
Repositório Científico do Centro Hospitalar Universitário de Santo António |
dc.contributor.author.fl_str_mv |
Magalhães, Luís Martins, Sara Raquel Pereira Nogué, Ramon |
dc.subject.por.fl_str_mv |
Diagnostic imaging Emergency Medicine Point-of-care testing Soft tissue infections Ultrasonography |
topic |
Diagnostic imaging Emergency Medicine Point-of-care testing Soft tissue infections Ultrasonography |
description |
Background: Necrotizing soft tissue infections are associated with high morbidity and mortality, even when the correct treatment is initiated. The diagnosis of these conditions is hard and the most sensitive methods are time-consuming, expensive and not readily available. Point-of-care ultrasound can complement clinical evaluation to increase the diagnostic accuracy. Case presentation: We bring a case of a woman, without comorbidities, who presented to the emergency department with signs of soft tissue infection. Bedside ultrasound showed subcutaneous tissue thickening, with fluid accumulation, and subcutaneous gas in the affected area. Based on the clinical suspicion and the ultrasound findings, the patient underwent prompt medical treatment and surgical debridement. Conclusions: This case shows the utility of bedside ultrasound for the decision-making process in a disease where an early diagnosis is important. This information should always be used together with the clinical judgement, as it has a relative low sensitivity. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020 2020-01-01T00:00:00Z 2022-07-14T14:42:16Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.16/2727 |
url |
http://hdl.handle.net/10400.16/2727 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Magalhães L, Martins SRP, Nogué R. The role of point-of-care ultrasound in the diagnosis and management of necrotizing soft tissue infections. Ultrasound J. 2020;12(1):3. doi:10.1186/s13089-020-0153-4 2524-8987 10.1186/s13089-020-0153-4 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Springer |
publisher.none.fl_str_mv |
Springer |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799133649195499520 |