TAILIEUCHUNG - Báo cáo y học: "Pneumococcal sepsis presenting as acute compartment syndrome of the lower limbs: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pneumococcal sepsis presenting as acute compartment syndrome of the lower limbs: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Pneumococcal sepsis presenting as acute compartment syndrome of the lower limbs a case report Sudeendra Doddi Tarun Singhal and Prakash Sinha Address Department of General Surgery Princess Royal University Hospital Farnborough Common Orpington Greater London BR6 8ND UK Email Sudeendra Doddi - sdoddi001@ Tarun Singhal - tasneemtarun@ Prakash Sinha - Corresponding author Published 9 February 2009 Received 25 February 2008 Journal of Medical Case Reports 2009 3 55 doi 1752-1947-3-55 Accepted 9 February 2009 This article is available from http content 3 1 55 2009 Doddi et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract_ Introduction Acute compartment syndrome is a surgical emergency requiring immediate fasciotomy. Spontaneous onset of acute compartment syndrome of the lower limbs is rare. We present a very rare case of pneumococcal sepsis leading to spontaneous acute compartment syndrome. Case presentation A 40-year-old Caucasian man presented as an emergency with spontaneous onset of pain in both legs and signs of compartment syndrome. This was confirmed on fasciotomy. Blood culture grew Streptococcus pneumoniae. Conclusion Sepsis should be strongly suspected in bilateral acute compartment syndrome of spontaneous onset. Introduction Acute compartment syndrome of the limbs if diagnosed late or left untreated can have grave consequences such as myonecrosis contractures functional impairment limb amputation renal failure and death. Hence prompt decompression by way of fasciotomy is .

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