A Case of Necrotizing Fasciitis That Rapidly Progressed after a Minor Injury

Necrotizing fasciitis is a rare, severe, life-threatening, and rapidly progressing infection characterized by necrosis of the fascia and subcutaneous tissue with systemic toxicity. In this study, we report a male patient with only controlled hypertension who was diagnosed with necrotizing fasciitis...

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Main Authors: Mayu Hosio, Azusa Shimizu, Hiroshi Mizuno
Format: Article
Language:English
Published: Japan Society of Plastic and Reconstructive Surgery 2025-07-01
Series:Journal of Plastic and Reconstructive Surgery
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jprs/4/3/4_2024-0012/_pdf/-char/en
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author Mayu Hosio
Azusa Shimizu
Hiroshi Mizuno
author_facet Mayu Hosio
Azusa Shimizu
Hiroshi Mizuno
author_sort Mayu Hosio
collection DOAJ
description Necrotizing fasciitis is a rare, severe, life-threatening, and rapidly progressing infection characterized by necrosis of the fascia and subcutaneous tissue with systemic toxicity. In this study, we report a male patient with only controlled hypertension who was diagnosed with necrotizing fasciitis of his middle finger after sustaining a kitchen knife injury. Successful treatment involved amputating the third finger at the level of the medial proximal phalanx due to the severe and rapid progression of symptoms and the elevated risk of Vibrio spp. and Staphylococcus spp. causing necrotizing fasciitis, considering the patient's profession as a cook and his being immunocompetent. The patient was able to resume a working life after a short hospitalization without any severe complications. This is a reminder that even a minor injury can result in a life-threatening infection. Early surgical intervention saved the patient's life, eliminated the need for reoperation, and shortened the hospitalization.
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issn 2436-259X
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publisher Japan Society of Plastic and Reconstructive Surgery
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series Journal of Plastic and Reconstructive Surgery
spelling doaj-art-c67b4c1b14594444b8c3fafe85cd05ab2025-08-20T03:57:36ZengJapan Society of Plastic and Reconstructive SurgeryJournal of Plastic and Reconstructive Surgery2436-259X2025-07-01431451502024-0012A Case of Necrotizing Fasciitis That Rapidly Progressed after a Minor InjuryMayu Hosio0Azusa Shimizu1Hiroshi Mizuno2Department of Plastic and Reconstructive Surgery, Juntendo University School of MedicineDepartment of Plastic Surgery, Toda Chuo General HospitalDepartment of Plastic and Reconstructive Surgery, Juntendo University School of MedicineNecrotizing fasciitis is a rare, severe, life-threatening, and rapidly progressing infection characterized by necrosis of the fascia and subcutaneous tissue with systemic toxicity. In this study, we report a male patient with only controlled hypertension who was diagnosed with necrotizing fasciitis of his middle finger after sustaining a kitchen knife injury. Successful treatment involved amputating the third finger at the level of the medial proximal phalanx due to the severe and rapid progression of symptoms and the elevated risk of Vibrio spp. and Staphylococcus spp. causing necrotizing fasciitis, considering the patient's profession as a cook and his being immunocompetent. The patient was able to resume a working life after a short hospitalization without any severe complications. This is a reminder that even a minor injury can result in a life-threatening infection. Early surgical intervention saved the patient's life, eliminated the need for reoperation, and shortened the hospitalization.https://www.jstage.jst.go.jp/article/jprs/4/3/4_2024-0012/_pdf/-char/ennecrotizing fasciitisminor injuryamputationvibrio spp.staphylococcus spp.
spellingShingle Mayu Hosio
Azusa Shimizu
Hiroshi Mizuno
A Case of Necrotizing Fasciitis That Rapidly Progressed after a Minor Injury
Journal of Plastic and Reconstructive Surgery
necrotizing fasciitis
minor injury
amputation
vibrio spp.
staphylococcus spp.
title A Case of Necrotizing Fasciitis That Rapidly Progressed after a Minor Injury
title_full A Case of Necrotizing Fasciitis That Rapidly Progressed after a Minor Injury
title_fullStr A Case of Necrotizing Fasciitis That Rapidly Progressed after a Minor Injury
title_full_unstemmed A Case of Necrotizing Fasciitis That Rapidly Progressed after a Minor Injury
title_short A Case of Necrotizing Fasciitis That Rapidly Progressed after a Minor Injury
title_sort case of necrotizing fasciitis that rapidly progressed after a minor injury
topic necrotizing fasciitis
minor injury
amputation
vibrio spp.
staphylococcus spp.
url https://www.jstage.jst.go.jp/article/jprs/4/3/4_2024-0012/_pdf/-char/en
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