“The Clock Is Ticking”: The Timely Management of a Painful Skin Rash in a Seventy-Year-Old Woman

Necrotizing fasciitis is an uncommon but a potentially fatal condition and can affect any part of the body. Most patients have pre-existing conditions that render them susceptible to infection, although etiology is unclear. Diagnosis is primarily clinical and is often delayed because of the unfamili...

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Main Authors: Susan Thomas, Folashade Omole, Vijaykumar G. Patel, Michelle L. Nichols
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2014/641058
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author Susan Thomas
Folashade Omole
Vijaykumar G. Patel
Michelle L. Nichols
author_facet Susan Thomas
Folashade Omole
Vijaykumar G. Patel
Michelle L. Nichols
author_sort Susan Thomas
collection DOAJ
description Necrotizing fasciitis is an uncommon but a potentially fatal condition and can affect any part of the body. Most patients have pre-existing conditions that render them susceptible to infection, although etiology is unclear. Diagnosis is primarily clinical and is often delayed because of the unfamiliarity of the condition among clinicians. Management consists of immediate resuscitation, early surgical debridement, and administration of broad spectrum intravenous antibiotics. We report a case of a 70 year old woman who presented with a painful erythematous rash, was admitted as a case of cellulitis, later developed worsening of symptoms and septic shock, and was diagnosed as necrotizing fasciitis.
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spelling doaj-art-a67daa2f64ac4f0ebc39c1850b662d482025-02-03T01:03:46ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/641058641058“The Clock Is Ticking”: The Timely Management of a Painful Skin Rash in a Seventy-Year-Old WomanSusan Thomas0Folashade Omole1Vijaykumar G. Patel2Michelle L. Nichols3Department of Family Medicine, Morehouse School of Medicine, 1513 East Cleveland Avenue, Building 100, Suite 300A, Atlanta, GA 30344, USADepartment of Family Medicine, Morehouse School of Medicine, 1513 East Cleveland Avenue, Building 100, Suite 300A, Atlanta, GA 30344, USADepartment of Surgery, Morehouse School of Medicine, 1513 East Cleveland Avenue, Building 100, Suite 300A, Atlanta, GA 30344, USADepartment of Family Medicine, Morehouse School of Medicine, 1513 East Cleveland Avenue, Building 100, Suite 300A, Atlanta, GA 30344, USANecrotizing fasciitis is an uncommon but a potentially fatal condition and can affect any part of the body. Most patients have pre-existing conditions that render them susceptible to infection, although etiology is unclear. Diagnosis is primarily clinical and is often delayed because of the unfamiliarity of the condition among clinicians. Management consists of immediate resuscitation, early surgical debridement, and administration of broad spectrum intravenous antibiotics. We report a case of a 70 year old woman who presented with a painful erythematous rash, was admitted as a case of cellulitis, later developed worsening of symptoms and septic shock, and was diagnosed as necrotizing fasciitis.http://dx.doi.org/10.1155/2014/641058
spellingShingle Susan Thomas
Folashade Omole
Vijaykumar G. Patel
Michelle L. Nichols
“The Clock Is Ticking”: The Timely Management of a Painful Skin Rash in a Seventy-Year-Old Woman
Case Reports in Medicine
title “The Clock Is Ticking”: The Timely Management of a Painful Skin Rash in a Seventy-Year-Old Woman
title_full “The Clock Is Ticking”: The Timely Management of a Painful Skin Rash in a Seventy-Year-Old Woman
title_fullStr “The Clock Is Ticking”: The Timely Management of a Painful Skin Rash in a Seventy-Year-Old Woman
title_full_unstemmed “The Clock Is Ticking”: The Timely Management of a Painful Skin Rash in a Seventy-Year-Old Woman
title_short “The Clock Is Ticking”: The Timely Management of a Painful Skin Rash in a Seventy-Year-Old Woman
title_sort the clock is ticking the timely management of a painful skin rash in a seventy year old woman
url http://dx.doi.org/10.1155/2014/641058
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