Necrotizing Soft Tissue Fasciitis after Intramuscular Injection
Necrotizing soft tissue fasciitis (NSTIs) or necrotizing fasciitis is an infrequent and serious infection. Herein, we describe the clinical course of a female patient who received a diagnosis of NSTIs after gluteus intramuscular injection. We also report the results of our review of published papers...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2018/3945497 |
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| author | Angelica Abbate Piero Luigi Almasio Martina Mongitore Gaetano Di Vita Rosalia Patti |
| author_facet | Angelica Abbate Piero Luigi Almasio Martina Mongitore Gaetano Di Vita Rosalia Patti |
| author_sort | Angelica Abbate |
| collection | DOAJ |
| description | Necrotizing soft tissue fasciitis (NSTIs) or necrotizing fasciitis is an infrequent and serious infection. Herein, we describe the clinical course of a female patient who received a diagnosis of NSTIs after gluteus intramuscular injection. We also report the results of our review of published papers from 1997 to 2017. Since now, 19 cases of NSTIs following intramuscular injections have been described. We focus on the correlation between intramuscular injection and NSTIs onset, especially in immunosuppressed patients treated with corticosteroids, suffering from chronic diseases or drug addicted. Intramuscular injections can provoke severe tissue trauma, representing local portal of infection, even if correctly administrated. Otherwise, it is important not to inject drug in subcutaneous, which is a less vascularized area and therefore more susceptible to infections. Likewise, a proper injecting technique and aspiration prior to injection seem to be valid measure to prevent intra-arterial or para-arterial drug injection with the consequent massive inflammatory reaction. Necrosis at the infection site appears to be independent of the drug, and it is a strong additional risk factor for NSTIs. |
| format | Article |
| id | doaj-art-db30675d7e7c43cda7af8ce049bb0bc7 |
| institution | OA Journals |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-db30675d7e7c43cda7af8ce049bb0bc72025-08-20T02:21:17ZengWileyCase Reports in Surgery2090-69002090-69192018-01-01201810.1155/2018/39454973945497Necrotizing Soft Tissue Fasciitis after Intramuscular InjectionAngelica Abbate0Piero Luigi Almasio1Martina Mongitore2Gaetano Di Vita3Rosalia Patti4General Surgery Unit, Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, ItalyBiomedical Department of Internal and Specialistic Medicine, University of Palermo, Palermo, ItalyGeneral Surgery Unit, Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, ItalyGeneral Surgery Unit, Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, ItalyGeneral Surgery Unit, Department of Surgical, Oncological and Stomatological Sciences, University of Palermo, Palermo, ItalyNecrotizing soft tissue fasciitis (NSTIs) or necrotizing fasciitis is an infrequent and serious infection. Herein, we describe the clinical course of a female patient who received a diagnosis of NSTIs after gluteus intramuscular injection. We also report the results of our review of published papers from 1997 to 2017. Since now, 19 cases of NSTIs following intramuscular injections have been described. We focus on the correlation between intramuscular injection and NSTIs onset, especially in immunosuppressed patients treated with corticosteroids, suffering from chronic diseases or drug addicted. Intramuscular injections can provoke severe tissue trauma, representing local portal of infection, even if correctly administrated. Otherwise, it is important not to inject drug in subcutaneous, which is a less vascularized area and therefore more susceptible to infections. Likewise, a proper injecting technique and aspiration prior to injection seem to be valid measure to prevent intra-arterial or para-arterial drug injection with the consequent massive inflammatory reaction. Necrosis at the infection site appears to be independent of the drug, and it is a strong additional risk factor for NSTIs.http://dx.doi.org/10.1155/2018/3945497 |
| spellingShingle | Angelica Abbate Piero Luigi Almasio Martina Mongitore Gaetano Di Vita Rosalia Patti Necrotizing Soft Tissue Fasciitis after Intramuscular Injection Case Reports in Surgery |
| title | Necrotizing Soft Tissue Fasciitis after Intramuscular Injection |
| title_full | Necrotizing Soft Tissue Fasciitis after Intramuscular Injection |
| title_fullStr | Necrotizing Soft Tissue Fasciitis after Intramuscular Injection |
| title_full_unstemmed | Necrotizing Soft Tissue Fasciitis after Intramuscular Injection |
| title_short | Necrotizing Soft Tissue Fasciitis after Intramuscular Injection |
| title_sort | necrotizing soft tissue fasciitis after intramuscular injection |
| url | http://dx.doi.org/10.1155/2018/3945497 |
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