Necrotizing Faciitis after Shoulder Mobilization and Intra-Articular Infiltration with Betametasone
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/149 |
Resumo: | Necrotizing Fasciitis is a rapidly progressive, potentially fatal infection of superficial fasciae and subcutaneous tissue, usually resulting from an inciting trauma to the skin. Medical literature refers few cases of necrotizing fasciitis related to intra-articular infiltrations, that often lead to patients death. This report describes the clinical events on a 55 year-old diabetic patient who developed upper extremity Necrotizing Fasciitis, 18 days after shoulder mobilization and intra-articular infiltration, due to Staphylococcus epidermidis. An early surgical debridement was performed and antibiotherapy was established, resulting in a successful outcome, despite the functional disability. We point out, through this case, the possibility of intra-articular injections of drugs causing Necrotizing Fasciitis, especially in risk patients. |
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Necrotizing Faciitis after Shoulder Mobilization and Intra-Articular Infiltration with BetametasoneFasceíte Necrosante após Mobilização e Infiltração Intrarticular do Ombro com BetametasonaNecrotizing Fasciitis is a rapidly progressive, potentially fatal infection of superficial fasciae and subcutaneous tissue, usually resulting from an inciting trauma to the skin. Medical literature refers few cases of necrotizing fasciitis related to intra-articular infiltrations, that often lead to patients death. This report describes the clinical events on a 55 year-old diabetic patient who developed upper extremity Necrotizing Fasciitis, 18 days after shoulder mobilization and intra-articular infiltration, due to Staphylococcus epidermidis. An early surgical debridement was performed and antibiotherapy was established, resulting in a successful outcome, despite the functional disability. We point out, through this case, the possibility of intra-articular injections of drugs causing Necrotizing Fasciitis, especially in risk patients.A Fasceíte Necrosante é uma infeção de rápida progressão, potencialmente fatal, das fáscias superficiais e tecido celular subcutâneo, que resulta geralmente de um traumatismo da pele. Há poucos relatos na literatura médica de casos de Fasceíte Necrosante relacionados com infiltrações intrarticulares, que culminaram com frequência na morte dos doentes. Este relato descreve os eventos clínicos de um doente diabetico de 55 anos que desenvolveu uma Fasceíte Necrosante por Staphylococcus epidermidis do membro superior, 18 dias após uma mobilização do ombro e infiltração intrarticular. O doente foi submetido a desbridamento cirúrgico e antibioterapia precoces, que foram bem sucedidos, apesar da limitação functional. Com este caso alertamos para a possibilidade de uma Fasceíte Necrosante, após infiltração intrarticular de fármacos, particularmente em doentes de risco.Ordem dos Médicos2013-08-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/149oai:ojs.www.actamedicaportuguesa.com:article/149Acta Médica Portuguesa; Vol. 26 No. 4 (2013): July-August; 456-459Acta Médica Portuguesa; Vol. 26 N.º 4 (2013): Julho-Agosto; 456-4591646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/149https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/149/3720Bento-Rodrigues, JoanaJudas, FernandoPedrosa Rodrigues, JorgeOliveira, JoãoSimões, PedroLucas, FranciscoPais Lopes, Antónioinfo:eu-repo/semantics/openAccess2022-12-20T10:55:50Zoai:ojs.www.actamedicaportuguesa.com:article/149Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:22.813090Repositório 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 |
Necrotizing Faciitis after Shoulder Mobilization and Intra-Articular Infiltration with Betametasone Fasceíte Necrosante após Mobilização e Infiltração Intrarticular do Ombro com Betametasona |
title |
Necrotizing Faciitis after Shoulder Mobilization and Intra-Articular Infiltration with Betametasone |
spellingShingle |
Necrotizing Faciitis after Shoulder Mobilization and Intra-Articular Infiltration with Betametasone Bento-Rodrigues, Joana |
title_short |
Necrotizing Faciitis after Shoulder Mobilization and Intra-Articular Infiltration with Betametasone |
title_full |
Necrotizing Faciitis after Shoulder Mobilization and Intra-Articular Infiltration with Betametasone |
title_fullStr |
Necrotizing Faciitis after Shoulder Mobilization and Intra-Articular Infiltration with Betametasone |
title_full_unstemmed |
Necrotizing Faciitis after Shoulder Mobilization and Intra-Articular Infiltration with Betametasone |
title_sort |
Necrotizing Faciitis after Shoulder Mobilization and Intra-Articular Infiltration with Betametasone |
author |
Bento-Rodrigues, Joana |
author_facet |
Bento-Rodrigues, Joana Judas, Fernando Pedrosa Rodrigues, Jorge Oliveira, João Simões, Pedro Lucas, Francisco Pais Lopes, António |
author_role |
author |
author2 |
Judas, Fernando Pedrosa Rodrigues, Jorge Oliveira, João Simões, Pedro Lucas, Francisco Pais Lopes, António |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Bento-Rodrigues, Joana Judas, Fernando Pedrosa Rodrigues, Jorge Oliveira, João Simões, Pedro Lucas, Francisco Pais Lopes, António |
description |
Necrotizing Fasciitis is a rapidly progressive, potentially fatal infection of superficial fasciae and subcutaneous tissue, usually resulting from an inciting trauma to the skin. Medical literature refers few cases of necrotizing fasciitis related to intra-articular infiltrations, that often lead to patients death. This report describes the clinical events on a 55 year-old diabetic patient who developed upper extremity Necrotizing Fasciitis, 18 days after shoulder mobilization and intra-articular infiltration, due to Staphylococcus epidermidis. An early surgical debridement was performed and antibiotherapy was established, resulting in a successful outcome, despite the functional disability. We point out, through this case, the possibility of intra-articular injections of drugs causing Necrotizing Fasciitis, especially in risk patients. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-08-30 |
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 |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/149 oai:ojs.www.actamedicaportuguesa.com:article/149 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/149 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/149 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/149 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/149/3720 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 26 No. 4 (2013): July-August; 456-459 Acta Médica Portuguesa; Vol. 26 N.º 4 (2013): Julho-Agosto; 456-459 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
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) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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