Necrotizing Soft Tissue Infection of the Breast during COVID-19 Pandemic
Necrotizing soft tissue infection has been historically recognized as a severe, rapidly spreading soft tissue infection associated with a very high risk of mortality. Cases of primary necrotizing fasciitis of the breast are rarely described but often fatal. We present a case of necrotizing soft tiss...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2020/8876475 |
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| _version_ | 1832560053419245568 |
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| author | Nadia Kamagate Robert DeVito |
| author_facet | Nadia Kamagate Robert DeVito |
| author_sort | Nadia Kamagate |
| collection | DOAJ |
| description | Necrotizing soft tissue infection has been historically recognized as a severe, rapidly spreading soft tissue infection associated with a very high risk of mortality. Cases of primary necrotizing fasciitis of the breast are rarely described but often fatal. We present a case of necrotizing soft tissue infection of the right breast extending to the anterior abdominal wall in a 39-year-old obese female, with a history of tobacco use. The patient presented 10 days after symptom onset due to concerns and anxiety related to COVID-19 exposure. This delay allowed for further extension and smoldering of the breast infection. The treatment of this aggressive disease process begins with early diagnosis, where a high index of suspicion is vital. Once diagnosed, the treatment regimen should be composed of emergent surgical debridement, which can include breast salvage debridement or total mastectomy, in addition to antibiotic therapy. |
| format | Article |
| id | doaj-art-a1bac81fa47a40be955d146cddc1ad39 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-a1bac81fa47a40be955d146cddc1ad392025-02-03T01:28:29ZengWileyCase Reports in Surgery2090-69002090-69192020-01-01202010.1155/2020/88764758876475Necrotizing Soft Tissue Infection of the Breast during COVID-19 PandemicNadia Kamagate0Robert DeVito1Western Reserve Health Education Trumbull Regional Medical Center, Department of Surgery, 1350 East Market Street Warren, Ohio, USANortheast Ohio Medical University, 4209 St. OH-44 Rootstown, Ohio 44272, USANecrotizing soft tissue infection has been historically recognized as a severe, rapidly spreading soft tissue infection associated with a very high risk of mortality. Cases of primary necrotizing fasciitis of the breast are rarely described but often fatal. We present a case of necrotizing soft tissue infection of the right breast extending to the anterior abdominal wall in a 39-year-old obese female, with a history of tobacco use. The patient presented 10 days after symptom onset due to concerns and anxiety related to COVID-19 exposure. This delay allowed for further extension and smoldering of the breast infection. The treatment of this aggressive disease process begins with early diagnosis, where a high index of suspicion is vital. Once diagnosed, the treatment regimen should be composed of emergent surgical debridement, which can include breast salvage debridement or total mastectomy, in addition to antibiotic therapy.http://dx.doi.org/10.1155/2020/8876475 |
| spellingShingle | Nadia Kamagate Robert DeVito Necrotizing Soft Tissue Infection of the Breast during COVID-19 Pandemic Case Reports in Surgery |
| title | Necrotizing Soft Tissue Infection of the Breast during COVID-19 Pandemic |
| title_full | Necrotizing Soft Tissue Infection of the Breast during COVID-19 Pandemic |
| title_fullStr | Necrotizing Soft Tissue Infection of the Breast during COVID-19 Pandemic |
| title_full_unstemmed | Necrotizing Soft Tissue Infection of the Breast during COVID-19 Pandemic |
| title_short | Necrotizing Soft Tissue Infection of the Breast during COVID-19 Pandemic |
| title_sort | necrotizing soft tissue infection of the breast during covid 19 pandemic |
| url | http://dx.doi.org/10.1155/2020/8876475 |
| work_keys_str_mv | AT nadiakamagate necrotizingsofttissueinfectionofthebreastduringcovid19pandemic AT robertdevito necrotizingsofttissueinfectionofthebreastduringcovid19pandemic |