Deb Binayak, Balasubramani V M, Varaham Ram, Vaidyanathan Ramesh
Trauma Intensive care unit, Ganga Medical Centre and Hospitals Private Limited, Coimbatore, Tamil Nadu, India.
Department of Trauma surgery, Ganga medical Centre and Hospitals Private Limited, Coimbatore, Tamil Nadu, India.
Trauma Case Rep. 2025 Apr 14;57:101168. doi: 10.1016/j.tcr.2025.101168. eCollection 2025 May.
Blunt Trauma Chest (BTC) is a common cause of morbidity and mortality in trauma patients. Although rib fractures, haemothorax, pneumothorax and lung contusions are often found in tandem in BTC, delayed necrotising soft tissue infection (NSTI) without any penetrating injuries or overt puncture wounds have rarely been reported. We report a 61-year-old patient with uncontrolled diabetes, admitted after a motor vehicle collision with head, chest and lower limb injuries and discharged after 9 days of stay in the hospital. He returned with NSTI of the chest wall around a week later with a fulminant clinical course ultimately leading to septic shock, multi-organ dysfunction and demise of the patient.
钝性胸部创伤(BTC)是创伤患者发病和死亡的常见原因。虽然在BTC中经常同时发现肋骨骨折、血胸、气胸和肺挫伤,但很少有关于无任何穿透伤或明显穿刺伤的延迟性坏死性软组织感染(NSTI)的报道。我们报告一名61岁患有未控制糖尿病的患者,在机动车碰撞致头部、胸部和下肢受伤后入院,住院9天后出院。大约一周后,他因胸壁NSTI再次入院,临床过程迅猛,最终导致感染性休克、多器官功能障碍和患者死亡。