Title Diagnostic challenge of necrotizing soft tissue infection in a patient with B lymphocytic leukemia
Authors Sadauskas, Andrius ; Juknevičienė, Renata ; Pečeliūnas, Valdas ; Masionis, Povilas ; Kvederas, Giedrius
DOI 10.7759/cureus.8387
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Is Part of Cureus.. Palo Alto : Cureus Inc.. 2020, vol. 12, no. 6, art. no. e837, p. [1-7]
Keywords [eng] necrotizing fasciitis ; lrinec score ; medical emergency ; immunocompromised patient
Abstract [eng] The necrotizing soft tissue infection is a rare surgical emergency. Early diagnosis and timely treatment can contribute to better survival and the preservation of the limb. Diagnosis of this pathology remains a challenge to the clinician at the initial stage of the disease, especially if the patient is immunocompromised. We present the case of a 75-year-old man with B lymphocytic leukemia who was diagnosed with necrotizing soft tissue infection but failed to exhibit typical clinical and laboratory measurements. This case highlights the difficulty of early diagnosis in hematology patient, altered sensitivity of disease-specific scoring systems, and importance of high clinician awareness.
Published Palo Alto : Cureus Inc
Type Journal article
Language English
Publication date 2020
CC license CC license description