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Subcutaneous emphysema or necrotizing fasciitis after insect bite?
Nazım Karahan1, Ahmet Oztermeli2
1Corlu State Hospital, Orthopaedic and Traumatology, Bülent Ecevit Blv. No: 33, 59850 Çorlu, Tekirdağ, Turkey.
Trauma Case Reports
|September 17, 2020
Summary
Subcutaneous emphysema after an insect bite can mimic necrotizing fasciitis. Early diagnosis using imaging and biochemistry is crucial for timely treatment and good prognosis.
Area of Science:
- Dermatology
- Emergency Medicine
- Infectious Disease
Background:
- Distinguishing subcutaneous emphysema from necrotizing fasciitis post-insect bite is challenging.
- Insect bites can rarely lead to benign subcutaneous emphysema.
Observation:
- A case of benign subcutaneous emphysema in an 18-year-old male following an insect bite on the hand.
- Symptoms included erythema, swelling, crepitation, and progressive pain.
- Fasciotomy led to symptom regression.
Findings:
- This is the fourth reported case of benign subcutaneous emphysema after an insect bite.
- Benign emphysema has a good prognosis with appropriate treatment.
- Clinical presentation can resemble necrotizing fasciitis.
Implications:
- Accurate diagnosis is essential, relying on histological and microbiological investigations.
- Biochemistry and radiological tests are vital when early investigations are not feasible.
- Prompt diagnosis and management are key for favorable outcomes in insect bite-related emphysema.
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