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- W2105323261 abstract "The patient is a 56-year-old man who presented to the hospital for a swollen left lower extremity and generalized weakness. A few days before his presentation he had injured his foot when he bumped it on the side of the bed. The patient described the wound as “a small bruise with minimal pain.” The patient is blind so he was unable to describe the initial wound in detail. During his presentation to the emergency department (ED), he was found to be in diabetic ketoacidosis (DKA). He was admitted and treated for his DKA with insulin and fluids. The initial wounds on his left foot were small. The first wound was 2 × 2 cm and was located on the dorsal surface of the foot over the metatarsals. The second wound was 1 × 1 cm and was located over the tarsal bones. The third wound was on the plantar surface of the foot and was 1 × 1 cm. Significant bruising and swelling were noted. During this admission, a podiatrist was consulted. The patient was found to have 3 small abscesses. These were drained by the podiatrist and packed with sterile gauze. His DKA was effectively treated. Twenty-four hours after admission, increased swelling and drainage were noted in his leg. The wounds significantly increased in size. Plain films of the left foot and lower leg were ordered, which revealed air within the soft tissues. The decision was made to transport the patient to a surgical center. A local flight team was contacted to provide air medical transport. ErratumAir Medical JournalVol. 33Issue 5PreviewA norepinephrine dosage listed in the second and third paragraphs of “A 56-Year-Old Man with Necrotizing Fasciitis” in the July/August issue was incorrect. The correct dosage should have been 5 μg/min or 19 mL/min of 4mg/250 mL D5W. Full-Text PDF" @default.
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- W2105323261 date "2014-07-01" @default.
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- W2105323261 title "A 56-Year-Old Man With Necrotizing Fasciitis" @default.
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- W2105323261 doi "https://doi.org/10.1016/j.amj.2014.04.012" @default.
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