Artigo Revisado por pares

Benign muscular emphysema mimicking gas-forming infection

2019; BMJ; Volume: 105; Issue: 4 Linguagem: Inglês

10.1136/archdischild-2018-316219

ISSN

1468-2044

Autores

Matthias Nissen, Micha Bahr, Volker Sander, W. Finke, Ralf‐Bodo Tröbs,

Tópico(s)

Pleural and Pulmonary Diseases

Resumo

A 13-year-old boy presented 24 hours after noticing an insect bite on his left forearm (figure 1A). Perilesional erythema with a blister, crepitation and progressive pain started 12 hours before presentation. On admission, vital signs, inflammatory parameters, creatinine (kinase) and lactate were normal. Left arm and ventral hemithorax were swollen with crepitation, chest physical examination was unremarkable. CT showed subfascial emphysema (figure 1B). Figure 1 (A) Insect bite with perilesional erythema on the left forearm. (B) Non-enhanced CT depicting gas …

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