| A case of necrotizing fasciitis caused by coagulase-negative staphylococcus: utility of magnetic resonance imaging for the preoperative diagnosis of necrotizing fasciitis. | |
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MedLine Citation:
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PMID: 15990981 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 70-year-old woman presented with fever and pain in the right lower extremity. Fat-suppressed gadolinium-enhanced T1-weighted magnetic resonance imaging (MRI) showed contrast-enhanced fascia, fluid accumulation, and hypointense signals in the muscles. Surgical interventions including incisions and insertion of drainage tubes were performed on the basis of the MRI findings. The histopathological examinations of surgically obtained biopsy specimens demonstrated suppurative fasciitis, widespread myonecrosis, and thromboses of the vessels, all of which were compatible with a diagnosis of necrotizing fasciitis. The bacterial cultures were positive for a coagulase-negative staphylococcus. Following the surgical interventions, the patient was successfully treated by aggressive antimicrobial therapy. MRI can thus be useful for differentiating necrotizing fasciitis from nonnecrotizing soft tissue infection and for planning the treatment of necrotizing fasciitis. |
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Authors:
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Takeo Sato; Kiyofumi Hagiwara; Hiroaki Matsuno; Yoshihiro Chiyokura; Shuhei Morimoto; Jun-ichi Kunogi; Osamu Akiyama |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of infection and chemotherapy : official journal of the Japan Society of Chemotherapy Volume: 11 ISSN: 1341-321X ISO Abbreviation: J. Infect. Chemother. Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-07-01 Completed Date: 2005-10-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9608375 Medline TA: J Infect Chemother Country: Japan |
Other Details:
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Languages: eng Pagination: 160-3 Citation Subset: IM |
Affiliation:
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Department of Allergy and Rheumatology, Japanese Red Cross Medical Center, 4-1-22 Hiroo, Shibuya-ku, Tokyo, 150-8935, Japan. satotk-rheumatol@umin.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Infective Agents
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therapeutic use Coagulase Fasciitis, Necrotizing / diagnosis*, drug therapy, microbiology* Female Humans Magnetic Resonance Imaging* Middle Aged Muscle, Skeletal / pathology Necrosis / pathology Staphylococcus / enzymology, isolation & purification* Thigh / pathology Thrombosis / pathology |
| Chemical | |
Reg. No./Substance:
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0/Anti-Infective Agents; 0/Coagulase |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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