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Necrotizing fasciitis

Fugitt JBF - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Necrotizing fasciitis

History: 57 y/o diabetic male presents to ER with painful swollen right upper leg progressing over two days.

Findings: Severe edema of the deep fascia of the proximal quadriceps muscle group is seen on CT extending posteriorly to its insertion on the linea aspera. Fat sat T2 axial imaging shows extensive edema in the deep facia of several muscles, the soft tissues, and the vastus intermedius/lateralis, and the tensor fascia lata. Somewhat paradoxically, the fat sat gadolinium enhanced axial T1 images do not demonstrate enhancement of the fascia, perhaps do to its normal ligamentous character.

Ddx: Necrotizing fasciitis Cellulitis Hemorrhage Myositis Large DVT

Dxhow: The constellation of physical and imaging findings, patient history, vital signs, and laboratory tests are enough to confirm the diagnosis.

Exam: temp 102 wbc 36,000 with 85% neutrophils and bandemia lungs: CTAB heart: regular; rate 100 abdomen: soft, NT, ND, normal BS right leg: warm, tense, mottled skin, tender to palpate

No MeSH data available.


Myositis and fasciitis
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MPX1458_synpic13275: Myositis and fasciitis


Necrotizing fasciitis

Fugitt JBF - MedPix (2006)

Myositis and fasciitis
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1458&req=5

MPX1458_synpic13275: Myositis and fasciitis

View Article: MedPix Image - MedPix Case

Affiliation: Naval Medical Center San Diego

ABSTRACT

Diagnosis: Necrotizing fasciitis

History: 57 y/o diabetic male presents to ER with painful swollen right upper leg progressing over two days.

Findings: Severe edema of the deep fascia of the proximal quadriceps muscle group is seen on CT extending posteriorly to its insertion on the linea aspera. Fat sat T2 axial imaging shows extensive edema in the deep facia of several muscles, the soft tissues, and the vastus intermedius/lateralis, and the tensor fascia lata. Somewhat paradoxically, the fat sat gadolinium enhanced axial T1 images do not demonstrate enhancement of the fascia, perhaps do to its normal ligamentous character.

Ddx: Necrotizing fasciitis Cellulitis Hemorrhage Myositis Large DVT

Dxhow: The constellation of physical and imaging findings, patient history, vital signs, and laboratory tests are enough to confirm the diagnosis.

Exam: temp 102 wbc 36,000 with 85% neutrophils and bandemia lungs: CTAB heart: regular; rate 100 abdomen: soft, NT, ND, normal BS right leg: warm, tense, mottled skin, tender to palpate

No MeSH data available.