Necrotizing Fasciitis in a Plaster-Casted Limb: Case Report

Author:

Netzer Giora1,Fuchs Barry D.1

Affiliation:

1. Giora Netzer is an assistant professor in the Division of Pulmonary and Critical Care Medicine, and the Department of Epidemiology and Preventive Medicine at the University of Maryland. Barry D. Fuchs is an associate professor in the Division of Pulmonary and Critical Care Medicine, University of Pennsylvania School of Medicine, and director of the medical intensive care unit at the University of Pennsylvania Hospital.

Abstract

Casts may be associated with, and mask, serious life-threatening complications, including infection, compartment syndrome, and deep vein thrombosis with or without pulmonary embolism. A 43-year-old woman had necrotizing fasciitis associated with a closed-reduction casting of a tibial fracture. Her treatment highlights the importance of removing a cast and assessing the skin and tissue underneath for signs of infection in patients with suspected infection. Thorough assessment, early diagnosis, and early intervention in necrotizing fasciitis and sepsis are important to improve patients’ outcomes.

Publisher

AACN Publishing

Subject

Critical Care,General Medicine

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