Case 381

Medical History

A 50-year-old man, cirrhotic (CHILD C12) and diabetic, was hospitalized due to decompensation of hepatorenal syndrome and was treated with hemodialysis using a double lumen catheter in the left jugular vein. After 20 days, he presented painful crackling edema in the right shoulder blade, right forearm and his left calf, which evolved rapidly with purple spots, worsening of the medical state, leukocytosis with left shift, elevation of CRP and shock.

Considering the hypothesis of necrotizing fasciitis (NF) and the imaging exams, which alternative below describes the best medical conduct?

Test Question

(Medical residency - PUC-PR 2012) About the Necrotizing Fasciites, the alternatives bellow are correct, EXCEPT:

Leave a Reply