Trauma case reports · 2020
Subcutaneous emphysema or necrotizing fasciitis after insect bite?
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Karahan Nazım, Oztermeli Ahmet
Аннотация
BACKGROUND: The rapid form of subcutaneous emphysema after an insect bite is hard to distinguish from necrotizing fasciitis.
CASE PRESENTATION: Here we report a case of benign subcutaneous emphysema after an insect bite on the hand of an 18-year-old Caucasian man. The puncture area in the first web space of his hand was erythematous and swollen. After 4 h, he began to hear crackling sounds in the hand. Although conservative management was provided, he experienced gradually increasing pain and rapid progression in swelling and crepitation. The symptoms regressed after fasciotomy.
CONCLUSION: This is the fourth reported case of benign subcutaneous emphysema after an insect bite in the literature. Although benign emphysema has a good prognosis after treatment, it is similar to necrotizing fasciitis. Proper diagnosis can only be established with histological and microbiological investigations, but in cases where early histological and microbiological investigations cannot be performed, biochemistry and radiological test should be used.
CASE PRESENTATION: Here we report a case of benign subcutaneous emphysema after an insect bite on the hand of an 18-year-old Caucasian man. The puncture area in the first web space of his hand was erythematous and swollen. After 4 h, he began to hear crackling sounds in the hand. Although conservative management was provided, he experienced gradually increasing pain and rapid progression in swelling and crepitation. The symptoms regressed after fasciotomy.
CONCLUSION: This is the fourth reported case of benign subcutaneous emphysema after an insect bite in the literature. Although benign emphysema has a good prognosis after treatment, it is similar to necrotizing fasciitis. Proper diagnosis can only be established with histological and microbiological investigations, but in cases where early histological and microbiological investigations cannot be performed, biochemistry and radiological test should be used.