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Thoracic necrotizing fasciitis due to snake ointment that progressed to a mediastinitis
Walid L Dajer-Fadel1, Carlos Ibarra-Perez, Rafael Borrego-Borrego
1Department of Cardiothoracic Surgery, General Hospital of Mexico, Mexico City, Mexico. wadafa@hotmail.com
Abstract:
We report the case of a 42-year old diabetic male presenting with erythema of the neck and anterior right thoracic region secondary to the application of an ointment derived from rattlesnakes, progressing to a full-blown necrotizing fasciitis in a short period of time, with associated mediastinitis, thrombocytopaenia and sepsis. The patient died despite aggressive multidisciplinary medical and surgical treatment. We present this case due to the unusual aetiology and fulminating course.
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