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Case of the Week 592



What is the most likely diagnosis?

  • 62 year-old male with foot pain



Lateral Radiograph of Foot

  1. Fracture of Navicular
  2. LisFranc Fracture
  3. Kohler's Disease
  4. Hammertoe Deformity
  5. Necrotizing Fasciitis

Additional image - CT of Foot

 

 

Additional Images

 


CT of Foot


Answer:

 

5. Necrotizing Fasciitis

 

More (Click Discussion Tab)

 

 

Necrotizing Fasciitis

 

General Considerations

  • A rapidly progressive, infection of fascia which leads to subsequent necrosis of the subcutaneous tissue; muscles are frequently spared
  • It may be caused by several organisms of groups of organisms
    • Type 1: Polymicrobial
      • Bacteroides, Clostridium, or Peptostreptococcus) in combination with streptococci other than group A and E. coli, Enterobacter, Klebsiella or Proteus
    • Type 2: Group A beta-hemolytic streptococcus
    • Clostridial infections (gas gangrene)

MORE . . .

 


.

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