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Case Report

Necrotizing fasciitis after intramuscular injection in a patient with dengue with warning signs

By
Roberto Carlos Jimenez-Fernandez ,
Roberto Carlos Jimenez-Fernandez

Universidad Católica Boliviana “San Pablo”. Santa Cruz, Bolivia

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Tita Fernández de Jimenez ,
Tita Fernández de Jimenez

Hospital Universitario Japonés. Santa Cruz, Bolivia

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Jhossmar Cristians Auza-Santivañez ,
Jhossmar Cristians Auza-Santivañez

Ministerio de Salud y Deportes

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Nayra Condori-Villca ,
Nayra Condori-Villca

Hospital Clínico-Quirúrgico Hermanos Ameijeiras. La Habana, Cuba

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Williams Reynaldo Siñani Díaz ,
Williams Reynaldo Siñani Díaz

Hospital Clínico Viedma. Cochabamba, Bolivia

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Ariel Sosa Remón ,
Ariel Sosa Remón

Instituto Nacional de Oncología y Radiobiología. La Habana, La Habana, Cuba

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Abstract

Introduction: Necrotizing fasciitis is a rapidly progressive soft tissue infection that can destroy the epidermis, dermis, subcutaneous tissue and muscle, which will subsequently lead to sepsis, systemic toxicity, multiorgan failure and a potentially fatal outcome.
Case Report: This is a 13-year-old male patient, who had dengue fever with warning signs, who was administered three injectables in the right gluteal region. From this event, a very aggressive condition would be triggered. of necrotizing fasciitis caused by cAMP-producing Pseudomonas aureginosa.
Evolution: The treatment adopted an approach based on recommendations for antibiotic therapy, added to early debridement, intensive supportive care and management by multiple medical specialties.
Conclusions: The atypical presentation of this disease, as in the case we present, requires multidisciplinary management. Making an early diagnosis made it possible to offer immediate and timely surgical intervention, which was essential in our patient and allowed a favorable evolution and recovery.

How to Cite

1.
Jimenez-Fernandez RC, Fernández de Jimenez T, Auza-Santivañez JC, Condori-Villca N, Siñani Díaz WR, Sosa Remón A. Necrotizing fasciitis after intramuscular injection in a patient with dengue with warning signs. Salud, Ciencia y Tecnología - Serie de Conferencias [Internet]. 2023 Oct. 20 [cited 2024 Jul. 3];2:522. Available from: https://conferencias.saludcyt.ar/index.php/sctconf/article/view/522

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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