• Reg Anesth Pain Med · Nov 2016

    Case Reports

    Necrotizing Fasciitis as a Complication of a Continuous Sciatic Nerve Catheter Using the Lateral Popliteal Approach.

    • Daltry Dott, Christopher Canlas, Christopher Sobey, William Obremskey, and Andrew Brian Thomson.
    • From the Department of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN.
    • Reg Anesth Pain Med. 2016 Nov 1; 41 (6): 728-730.

    ObjectiveNecrotizing fasciitis is an infection of the soft tissue that is characterized by rapidly spreading inflammation and subsequent necrosis. It is a rare complication of peripheral nerve blocks. We report a rare case of necrotizing fasciitis after placement of a peripheral nerve catheter.Case ReportA 58-year-old woman presented for an elective right second metatarsal resection and received a sciatic nerve catheter for postoperative pain control. On postoperative day 7, clinical examination and imaging supported the diagnosis of necrotizing fasciitis.ConclusionsMultiple reports have been published of necrotizing fasciitis after single-shot peripheral nerve block injections, neuraxial anesthesia, and intramuscular injections. This case highlights the potential for the rare complication of necrotizing fasciitis after peripheral nerve catheter placement.

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