Symmetrical necrotising chest wall infection following paronychia

P E Banwell; J Pereira; B W Powell

doi:10.1136/emj.15.1.58

Symmetrical necrotising chest wall infection following paronychia

J Accid Emerg Med. 1998 Jan;15(1):58-9. doi: 10.1136/emj.15.1.58.

Authors

P E Banwell¹, J Pereira, B W Powell

Affiliation

¹ Department of Plastic and Reconstructive Surgery, St George's Hospital, London, UK.

Abstract

Paronychial infection is a common condition seen in the accident and emergency department. Treatment is by antibiotics or incision and drainage under local anaesthetic. Complications are rare but may occur if treatment is delayed or inadequate. A case is described of symmetrical necrotising chest wall infection, of unusual anatomical distribution, that occurred following a paronychia and required surgical debridement and skin grafting.

Publication types

Case Reports

MeSH terms

Debridement
Fasciitis, Necrotizing / complications*
Fasciitis, Necrotizing / microbiology
Fasciitis, Necrotizing / surgery
Humans
Male
Middle Aged
Paronychia / complications*
Paronychia / drug therapy
Staphylococcal Infections / complications
Staphylococcal Infections / surgery
Streptococcal Infections / complications
Streptococcal Infections / surgery
Thoracic Diseases / complications*
Thoracic Diseases / microbiology
Thoracic Diseases / surgery