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Current Rheumatology Reviews

Editor-in-Chief

ISSN (Print): 1573-3971
ISSN (Online): 1875-6360

Case Report

Necrotizing Fasciitis After Total Hip Arthroplasty: A Rare Case Presentation

Author(s): Kürşad Aytekin and Feyza Yildiz Aytekin

Volume 18, Issue 4, 2022

Published on: 05 April, 2022

Page: [357 - 361] Pages: 5

DOI: 10.2174/1573397118666220209144058

Price: $65

Abstract

Background: Necrotizing fasciitis (NF) is a life-threatening disease. Arthroplasty patients with underlying or preexisting conditions and chronic medication use are prone to infection. The current report aimed to present a 53 years old female patient who developed necrotizing fasciitis one month after total hip arthroplasty.

Case Presentation: On the postoperative 15th day, she had wound discharge. She was given oral anti- biotherapy. At postoperative 1 month, her complaints increased. At emergency service, she experienced extreme pain in her lower extremity with pseudoparalysis, and a hip X-ray revealed gas images. She used prednisolone for 10 years and insulin for 15 years because of pemphigus vulgaris and diabetes mellitus. Clinical and laboratory findings led us to the diagnosis of necrotizing fasciitis. Despite aggressive treatment, including debridement, prosthesis removal, and antibiotherapy, unfortunately, the patient died 13 days after admission.

Conclusion: Patients with an immune suppressive condition, long-term corticosteroid use, or multiple underlying diseases should be closely monitored after total hip arthroplasty surgery to avoid such a devastating complication.

Keywords: Necrotizing fasciitis, total hip arthroplasty, pemphigus vulgaris, diabetes mellitus, Klebsiella pneumonia, hip disar-ticulation.

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