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Diagnosis and misdiagnosis of necrotizing soft tissue infections: three case reports
Engelbert Schröpfer1, Stephan Rauthe, Thomas Meyer
1Department of General-, Visceral-, Vascular- and Transplant-Surgery, Julius-Maximilians-University of Würzburg, Würzburg, Germany. Schroepfer_e@chirurgie.uni-wuerzburg.de.
Background:
Today, gas gangrene is rare, but still many of the patients die, despite having received timely treatment.
Case Presentation:
This report highlights the cases of three different patients, who were transferred to our surgical department in 2006. The first patient (Patient_A), with the suspected diagnosis "femoral hematoma", a second patient (Patient_B) because of an "acute abdomen" and the third patient (Patient_C) with suspected gas gangrene of the right leg.
Conclusion:
The first two cases demonstrate gas gangrene should always be kept in mind, especially in high-risk-patients. Though, the third case shows that severe consequences because of a precipitate diagnosis can be avoided by careful evaluation.
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