A case report on necrotizing fasciitis in a hemiplegic patient following an intra-muscular injection

Authors

  • Sowjanya Mendem Department of Pharmacy Practice, MNR College of Pharmacy, Sangareddy, Telangana, India
  • M. Aqib Ali Faraz Department of Pharmacy Practice, MNR College of Pharmacy, Sangareddy, Telangana, India
  • K. Lankeswar Rao Department of Pharmacy Practice, MNR College of Pharmacy, Sangareddy, Telangana, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20203945

Keywords:

Necrotizing fasciitis, Surgical debridement, Skin grafting, Hemiplegia, IM injection

Abstract

Necrotizing fasciitis (NF) can be defined as a surgical emergency causing the necrosis of the skin, subcutaneous fat, and superficial fascia. It spreads along the fascial planes with or without the presence of cellulitis. It is characterized by the destruction of tissue, systemic toxicity, and may even lead to morbidity and mortality. Higher rates of prevalence were observed in the obese, diabetic, alcoholic, patients with peripheral vascular diseases and immunocompromised populations. There are no definite diagnostic criteria for NF and the laboratory findings may lead to misdiagnosis as cellulitis or abscess. It is usually developed from an injury to the skin, which may occur during trauma, IV drug use, drug administration (via injection), skin infections, ulcer, insect bites, visceral-cutaneous fistulas, surgical complications, percutaneous catheter insertion, abscesses and can even have idiopathic causes. Early diagnosis of the condition, surgical debridement, and optimal antibiotic therapy leads to the improvement in the condition and desired outcomes in the patient. The present study is focused on the successful treatment of necrotizing fasciitis in a hypertensive and hemiplegic patient, following an IM injection of an analgesic, which caused an ulcer and rapidly progressed, leading to necrosis of the affected regions.

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Published

2020-08-28

How to Cite

Mendem, S., Faraz, M. A. A., & Rao, K. L. (2020). A case report on necrotizing fasciitis in a hemiplegic patient following an intra-muscular injection. International Journal Of Community Medicine And Public Health, 7(9), 3689–3692. https://doi.org/10.18203/2394-6040.ijcmph20203945

Issue

Section

Case Reports