A case of fatal necrotizing fasciitis arising from chronic lymphedema

Int J Low Extrem Wounds. 2013 Dec;12(4):293-6. doi: 10.1177/1534734613508648. Epub 2013 Nov 9.

Abstract

Chronic lymphedema and lymphangitis are common adverse effects following treatment for gynecological cancer. Because the early symptoms of necrotizing fasciitis are similar to those of lymphangitis, fatal outcome can occur if patients or physicians underestimate this condition. Here, we present a case of necrotizing fasciitis in a patient with chronic lymphedema.

Keywords: chronic lymphedema; magnetic resonance imaging; necrotizing fasciitis.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / therapeutic use*
  • Chemoradiotherapy / adverse effects
  • Combined Modality Therapy
  • Debridement / methods*
  • Diagnosis, Differential
  • Fasciitis, Necrotizing* / diagnosis
  • Fasciitis, Necrotizing* / drug therapy
  • Fasciitis, Necrotizing* / etiology
  • Fasciitis, Necrotizing* / physiopathology
  • Fasciitis, Necrotizing* / surgery
  • Female
  • Foot Diseases* / diagnosis
  • Foot Diseases* / etiology
  • Foot Diseases* / physiopathology
  • Foot Diseases* / therapy
  • Humans
  • Hysterectomy / adverse effects
  • Lymphangitis / diagnosis*
  • Lymphedema* / complications
  • Lymphedema* / diagnosis
  • Lymphedema* / etiology
  • Lymphedema* / physiopathology
  • Magnetic Resonance Imaging
  • Middle Aged
  • Plastic Surgery Procedures / methods
  • Treatment Outcome
  • Uterine Cervical Neoplasms / therapy

Substances

  • Anti-Bacterial Agents