Resident Physician PGY2, Mercy Hospital & Medical Center, Chicago, IL.
Assistant Residency Director at Mercy Hospital & Medical Center, Associate at Midland Orthopedics, Chicago, IL.
J Foot Ankle Surg. 2022 Jan-Feb;61(1):195-198. doi: 10.1053/j.jfas.2021.08.005. Epub 2021 Aug 18.
In this article we report a rare case of necrotizing fasciitis presenting with the possible initial symptom of compartment syndrome. After treatment with broad spectrum and targeted antibiotics in addition to multiple fasciotomies, surgical debridement, and grafts the patient went on to uneventful healing within 6 months. This case report highlights the possibility of a compartment syndrome as the only initial symptom of a monomicrobial necrotizing soft tissue infection. While multiple case reports have documented group A streptococcal cellulitis as initiating a later acute compartment syndrome, this is to our knowledge the first case in the foot and ankle of compartment syndrome as a possible early symptom of a group A streptococcal (monomicrobial) necrotizing fasciitis.
在本文中，我们报告了一例罕见的坏死性筋膜炎病例，其可能的初始症状为筋膜间室综合征。在接受广谱和靶向抗生素治疗以及多次筋膜切开术、手术清创和植皮后，患者在 6 个月内顺利愈合。本病例报告强调了筋膜间室综合征作为单一微生物坏死性软组织感染唯一初始症状的可能性。虽然已有多篇病例报告记录了 A 组链球菌蜂窝织炎引发随后急性筋膜间室综合征，但据我们所知，这是足部和踝关节筋膜间室综合征作为 A 组链球菌（单一微生物）坏死性筋膜炎早期可能症状的首例病例。
