Abstract
Case:A 50-year-old woman presented to our emergency department with hand pain and a laceration. Despite administration of antibiotics, the patient progressively worsened leading to a concern for a necrotizing soft-tissue infection. She underwent multiple debridements yet continued to worsen clinically. Tissue biopsy was eventually consistent with a necrotizing neutrophilic dermatosis. The patient was then started on oral steroids with rapid improvement of her clinical status and hand examination.Conclusion:While neutrophilic dermatoses are rare, the orthopaedic surgeon treating soft-tissue infections should maintain a broad differential when treatment of a potential necrotizing infection has not led to diagnostic closure and clinical improvement.
Original language | English |
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Article number | A54 |
Journal | JBJS case connector |
Volume | 13 |
Issue number | 3 |
DOIs | |
State | Published - Aug 3 2023 |
Keywords
- atypical infection
- hand
- necrotizing fasciitis
- necrotizing neutrophilic dermatosis
- neutrophilic dermatosis