Thoracic necrotizing fasciitis due to snake ointment that progressed to a mediastinitis

We report the case of a 42-year old diabetic male presenting with erythema of the neck and anterior right thoracic region secondary to the application of an ointment derived from rattlesnakes, progressing to a full-blown necrotizing fasciitis in a short period of time, with associated mediastinitis,...

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Veröffentlicht in:	Interactive cardiovascular and thoracic surgery 2012-01, Vol.14 (1), p.94-95
Hauptverfasser:	Dajer-Fadel, Walid L., Ibarra-Perez, Carlos, Borrego-Borrego, Rafael, Flores-Calderon, Octavio
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Case Reports Crotalid Venoms - administration & dosage Crotalid Venoms - adverse effects Debridement Fasciitis, Necrotizing - chemically induced Fasciitis, Necrotizing - complications Fasciitis, Necrotizing - diagnosis Follow-Up Studies Humans Male Mediastinitis - diagnosis Mediastinitis - etiology Mediastinitis - surgery Ointments - adverse effects Thoracic Wall Tomography, X-Ray Computed
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Beschreibung
Zusammenfassung:	We report the case of a 42-year old diabetic male presenting with erythema of the neck and anterior right thoracic region secondary to the application of an ointment derived from rattlesnakes, progressing to a full-blown necrotizing fasciitis in a short period of time, with associated mediastinitis, thrombocytopaenia and sepsis. The patient died despite aggressive multidisciplinary medical and surgical treatment. We present this case due to the unusual aetiology and fulminating course.
ISSN:	1569-9293 1569-9285
DOI:	10.1093/icvts/ivr001