Necrotizing fasciitis in a 68-year old patient with insulin-treated steroid diabetes

Christina Voulgari, MD; Eleftheria Alexaki, MD; Stavroula Chini, MD; Sofia Vogiaki, MD; Irene Gamatsi, MD; Stamata Pagoni, MD

Journal of Clinical and Translational Endocrinology Case Reports (Dec 2016)

Necrotizing fasciitis in a 68-year old patient with insulin-treated steroid diabetes

Christina Voulgari, MD,
Eleftheria Alexaki, MD,
Stavroula Chini, MD,
Sofia Vogiaki, MD,
Irene Gamatsi, MD,
Stamata Pagoni, MD

Affiliations

Christina Voulgari, MD: 3rd Department of Internal Medicine, Athens General Hospital “G. Gennimatas”, Athens, Greece; Corresponding author. 3rd Department of Internal Medicine, Athens General Hospital “G. Gennimatas”, 154 Mesogeion Street, Athens 11527, Greece.
Eleftheria Alexaki, MD: 3rd Department of Internal Medicine, Athens General Hospital “G. Gennimatas”, Athens, Greece
Stavroula Chini, MD: 3rd Department of Internal Medicine, Athens General Hospital “G. Gennimatas”, Athens, Greece
Sofia Vogiaki, MD: 3rd Department of Internal Medicine, Athens General Hospital “G. Gennimatas”, Athens, Greece
Irene Gamatsi, MD: Department of Plastic Surgery, Burns Unit, Microsurgery and Hand Surgery, Athens General Hospital “G. Gennimatas”, Athens, Greece
Stamata Pagoni, MD: 3rd Department of Internal Medicine, Athens General Hospital “G. Gennimatas”, Athens, Greece

Journal volume & issue: Vol. 2
pp. 15 – 16

Abstract

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A 68-year old man was admitted to our department with left arm erythema, pain, and swelling after injecting insulin isophane. LRINEC score, CT, and MRI imaging diagnosed necrotizing fasciitis. With surgical debridement, tight glycemic control and treatment, the patient was discharged 13 days later. Keywords: Necrotizing, Fasciitis, Diabetes, Methicillin, Resistant, Staphylococcus

Published in Journal of Clinical and Translational Endocrinology Case Reports

ISSN: 2214-6245 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the endocrine glands. Clinical endocrinology
Website: https://www.journals.elsevier.com/journal-of-clinical-and-translational-endocrinology-case-reports/

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