Acta Scientific Clinical Case Reports

Case ReportVolume 3 Issue 2

Necrotizing Fasciitis with Compartment Syndrome of the Lower Leg After Non-venomous Snake Bite in Central Europe: Case Report

Danijel Erdani1, Nadja Alikadič1, Miloš Macura1, Danijela Semenič1,2 and Igor Frangež1,2*

1Clinical Department for Surgical Infections, University Medical Centre, Ljubljana, Slovenia
2Faculty of Medicine, University of Ljubljana, Slovenia

*Corresponding Author: Igor Frangež, Clinical Department for Surgical Infections, University Medical Centre Ljubljana, Slovenia.

Received: December 18, 2021; Published: January 06, 2022

Abstract

Introduction: Necrotizing fasciitis (NF) is a type of necrotizing soft-tissue infection (NSTI) with high mortality rate. Typical clinical status of a patient with NF includes initial symptoms and signs such as non-specific skin changes, fever and localised pain, which later progress to tissue necrosis, sepsis and systemic toxicity. Compartment syndrome can also be a complication of the disease.

Case Presentation: We present a case of 42-year-old Iraqi Kurdish male, who suffered NF after a snake bite in central Europe (the snake was identified as non-venomous; S. pyogenes was isolated from the wound), which later progressed to compartment syndrome of the lower leg. The patient also had positive PCR test for Covid-19 infection at the time of admission. Later, the patient underwent extensive treatment of NF, which included surgical debridement, broad-spectrum antibiotic therapy and intensive support treatment. He survived without significant subsequent impairment.

Conclusion: There are far more clinical cases of secondary infection of the snakebite wound described in tropical climates than continental European climate, in which our case has occurred. Patients with underlying chronic diseases and leucocytosis could be more susceptible to the development of secondary NF with high-grade tissue damage and multi-organ failure. Urgent fasciotomy, optimal antibiotic therapy and intensive care treatment are crucial. 

Keywords: Necrotizing Fasciitis; Compartment Syndrome; Snake Bite; Streptococcus; Septic Shock

Bibliography

  1. Puvanendran R., et al. “Necrotizing fasciitis”. Canadian Family Physician 10 (2009): 981-987.
  2. Stevens DL and Bryant AE. “Necrotizing Soft-Tissue Infections”. The New England journal of medicine23 (2017): 2253-2265.
  3. Sadasivan J., et al. “Necrotizing fasciitis”. Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India3 (2013): 472-478.
  4. Bonne SL and Kadri SS. “Evaluation and Management of Necrotizing Soft Tissue Infections”. Infectious Disease Clinics of North America3 (2017): 497-511.
  5. Cocanour CS., et al. “Management and Novel Adjuncts of Necrotizing Soft Tissue Infections”. Surgical Infections3 (2017): 250-272.
  6. Ballesteros-Betancourt JR., et al. “A non-infectious necrotizing fasciitis of the lower limb after a snakebite: Case report and literature review”. Injury Extra 44 (2013): 6-8.
  7. Guo J., et al. “Acute compartment syndrome: Cause, diagnosis, and new viewpoint”. Medicine27 (2019): e16260.
  8. Reichert JC., et al. “Necrotizing streptococcal myositis of the upper extremity: a case report”. BMC Research Notes1 (2017): 407.
  9. Long B., et al. “Evaluation and Management of Acute Compartment Syndrome in the Emergency Department”. The Journal of Emergency Medicine4 (2019): 386-397.
  10. Banda CH and N'gambi C. “Necrotizing fasciitis with mediastinitis following snakebite envenomation”. SAGE Open Medical Case Reports7 (2019): 2050313X18823090.
  11. Tsai YH., et al. “Necrotizing fasciitis following venomous snakebites in a tertiary hospital of southwest Taiwan”. International Journal of Infectious Diseases: IJID: Official Publication of the International Society for Infectious Diseases63 (2017): 30-36.
  12. Severyns M., et al. “Case Report: Bothrops lanceolatusSnakebite Surgical Management-Relevance of Fasciotomy”. The American Journal of Tropical Medicine and Hygiene5 (2018): 1350-1353.
  13. Kaur H and Mahajan G. “An interesting case of snake bite with necrotizing fasciitis”. Journal of Pediatric Critical Care 3 (2018): 91.
  14. Hearn P., et al. “Necrotizing fasciitis complicating snakebite in Cambodia”. ID Cases3 (2015): 86-87.

Citation: Igor Frangež., et al. “Necrotizing Fasciitis with Compartment Syndrome of the Lower Leg After Non-venomous Snake Bite in Central Europe: Case Report". Acta Scientific Clinical Case Reports 3.2 (2022): 21-27.

Copyright: © 2022 Igor Frangež., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.