Clinical Diabetes 20:198-200, 2002
© American Diabetes Association ®, Inc., 2002
Case Study: Necrotizing Fasciitis in a Patient With Obesity and Poorly Controlled Type 2 Diabetes
Anca M. Avram, MD
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Presentation
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E.N. is a 60-year-old white woman who presented at the hospital with high fever, chills, and severe pain at the base of her neck. She was unable to flex or rotate her neck because of pain and swelling. She recalled that 3 days before admission, there was an unusually warm winter day, and she walked in a nearby park enjoying the weather. She recalled an itching and painful sensation that she initially attributed to a spider/insect bite on her upper back, which gradually progressed to severe pain and swelling over the next 2 days.
Her medical history was significant for type 2 diabetes for the past 5 years, class 2 obesity (body mass index 37.5 kg/m2), and hypertension for the past 10 years. Her medications were glyburide (Micronase), 5 mg twice daily, and verapamil (Calan SR), 240 mg daily. She did not smoke or drink alcohol. Her family history was significant for mother with type 2 diabetes and hypertension.
At admission, E.N. was febrile (temperature 40°C), tachypneic (respiratory rate 20), tachycardic (heart rate 120), and hypertensive (blood pressure 164/69 mmHg). Physical examination revealed a large area of wood-like induration (5 x 6 inches) extending from the back of the neck forward . . . [Full Text of this Article]
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Erratum
Clin. Diabetes,
January 1, 2003;
21(1):
45 - 45.
[Full Text]
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Copyright © 2002 by the American Diabetes Association.
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