Necrotising fasciitis due to an infected sebaceous cyst

BMJ Case Rep. 2014 Apr 30:2014:bcr2013201905. doi: 10.1136/bcr-2013-201905.

Abstract

The current case presents a patient who was admitted to our hospital with the diagnosis of cellulitis of the right groin. In the following days, the patient's condition deteriorated and developed a septic shock. Exploration in the operating room showed a necrotising fasciitis of the adductor muscles, with an infected sebaceous cyst in the inguinal crest as port d'entrée. After extensive surgical debridement, antibiotic therapy, haemodynamic and respiratory support, the patient recovered. Necrotising fasciitis is a rare but very lethal condition, which necessitates aggressive surgical therapy and antibiotic support. The current case report is the first report to show a necrotising fasciitis due to an infected sebaceous cyst.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Cellulitis / diagnosis
  • Cellulitis / etiology
  • Debridement / methods*
  • Disease Progression
  • Emergency Service, Hospital
  • Emergency Treatment / methods
  • Epidermal Cyst / complications*
  • Epidermal Cyst / diagnostic imaging
  • Epidermal Cyst / surgery
  • Fasciitis, Necrotizing / diagnosis
  • Fasciitis, Necrotizing / drug therapy
  • Fasciitis, Necrotizing / etiology*
  • Fasciitis, Necrotizing / surgery*
  • Female
  • Follow-Up Studies
  • Gram-Positive Bacteria / isolation & purification
  • Groin
  • Humans
  • Negative-Pressure Wound Therapy / methods
  • Severity of Illness Index
  • Shock, Septic / etiology
  • Shock, Septic / physiopathology
  • Shock, Septic / therapy*
  • Tomography, X-Ray Computed / methods
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents