Necrotising Fasciitis Caused by Adulterated Traditional Asian Medicine: A Case Report-Reference-Cited by-同舟云学术

Necrotising Fasciitis Caused by Adulterated Traditional Asian Medicine: A Case Report

Published:2009-08 Issue:2 Volume:17 Page:223-226
ISSN:2309-4990
Container-title:Journal of Orthopaedic Surgery
language:en
Short-container-title:J Orthop Surg (Hong Kong)

Author:

Doshi Hitendra K¹,Thambiah Joseph¹,Chan Cheng Leng²,Nga Min En³,Tambyah Paul Ananth⁴

Affiliation:

1. Department of Orthopaedic Surgery, National University Hospital, Singapore

2. Center For Drug Administration, Health Sciences Authority, Singapore

3. Department of Pathology, National University Hospital, Singapore

4. Department of Infectious Diseases, National University Hospital, Singapore

Abstract

Necrotising fasciitis can be life threatening, requiring prompt diagnosis and surgical debridement. We report a case of necrotising fasciitis caused by an adulterate traditional Asian medication— Jamu Pegal Linu, containing toxic levels of phenylbutazone and dipyrone. The patient presented with severe neutropenia and sepsis. An urgent extensive debridement was carried out (within 6 hours of presentation). Repeated debridements were performed on days 2 and 5, augmented with antibiotics and granulocyte colony-stimulating factor.

Publisher

SAGE Publications

Subject

Surgery

Link

http://journals.sagepub.com/doi/pdf/10.1177/230949900901700222

Reference17 articles.

1. Complementary and alternative medicine use in patients with chronic diseases in primary care is associated with perceived quality of care and cultural beliefs

2. Necrotizing fasciitis and gangrene associated with topical herbs in an infant

3. Balancing hot and cold—Balancing power and weakness: Social and cultural aspects of Malay jamu in Singapore

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