Neglected Necrotizing Fasciitis - A Rare Complication of Spinal Anaesthesia
Published: August 1, 2017 | DOI: https://doi.org/10.7860/JCDR/2017/26929.10359
Karikal Chakaravarthi, Ashish Gupta, Lileswar Kaman
1. Senior Resident, Department of General Surgery, ESI Hospital, Bengaluru, Karnataka, India.
2. Senior Medical Officer, Department of General Surgery, Pgimer, Chandigarh, India.
3. Professor, Department of General Surgery, Pgimer, Chandigarh, India.
Correspondence
Dr. Lileswar Kaman,
Professor, Department of General Surgery, Pgimer, Chandigarh-160012, India.
E-mail: drashish0403@yahoo.in
Necrotizing Fasciitis (NF) is a rare, rapidly progressive severe bacterial soft tissue infection with a high mortality rate. NF classically involves the trunk, groin/perineum, lower limbs, and postoperative wound sites. NF secondary to spinal anaesthesia in a young postpartum female is extremely rare. Here we are describing a young postpartum female who underwent cesarean section for the delivery of child but developed NF of the back starting from the site of spinal needle insertion. She was referred to our center after 21 days of surgery with extensive NF. She underwent serial debridement but succumbed to septic shock secondary to gram negative and fungal sepsis.
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