• Rev Pneumol Clin · Sep 2007

    Case Reports

    [Necrotizing fasciitis complicating transthoracic biopsy].

    • K Nouira, S Bourkhis, S Maalej, J Ben Hassouna, O Azaiez, M Ben Messaoud, M Bourguiba, I Drira, K Rahal, and E Menif.
    • Service d'Imagerie médicale, Hôpital La Rabta, Tunis, Tunisie. kais.nouira@gmail.com
    • Rev Pneumol Clin. 2007 Sep 1; 63 (4): 273-6.

    IntroductionNecrotizing fasciitis is a rapidly progressive and often fatal infection of the soft-tissue fascia deep to the skin but superficial to the muscles. We report a case of necrotizing fasciitis of the anterior chest wall complicating a percutaneous needle biopsy.CaseA 49-year-old diabetic patient, presented persistent excavated right pulmonary opacities. A percutaneous biopsy was obtained and complicated by a necrotizing fasciitis. The patient underwent surgery for total resection of the necrotic tissues followed by antibiotic treatment. Outcome was favorable after 30 days of antibiotic therapy.DiscussionNecrotizing fasciitis is a life threatening complication of transthoracic percutaneous biopsy. Prognosis depends on rapid diagnosis and treatment.

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