Diferencia entre revisiones de «Necrotizing myositis»
(Text replacement - "* " to "*") |
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==Background== | ==Background== | ||
* Much rarer than [[Necrotizing fasciitis]] | *Much rarer than [[Necrotizing fasciitis]] | ||
* May be preceded by skin abrasions, blunt trauma, heavy exercise | *May be preceded by skin abrasions, blunt trauma, heavy exercise | ||
* Most patients are otherwise healthy (DM and other underlying conditions do not appear to increase risk) | *Most patients are otherwise healthy (DM and other underlying conditions do not appear to increase risk) | ||
==Clinical Features== | ==Clinical Features== | ||
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==Management== | ==Management== | ||
* Same as [[Necrotizing Fasciitis]] | *Same as [[Necrotizing Fasciitis]] | ||
==Disposition== | ==Disposition== | ||
Revisión del 11:16 7 jul 2016
Background
- Much rarer than Necrotizing fasciitis
- May be preceded by skin abrasions, blunt trauma, heavy exercise
- Most patients are otherwise healthy (DM and other underlying conditions do not appear to increase risk)
Clinical Features
- Exquisite pain and swelling of affected muscle with induration
- Overlying skin changes may manifest later in the course of illness (erythema, warmth, petechiae, bullae)
- Hypotension may occur rapidly with development of streptococcal toxic shock syndrome
Differential Diagnosis
Skin and Soft Tissue Infection
- Cellulitis
- Erysipelas
- Lymphangitis
- Folliculitis
- Hidradenitis suppurativa
- Skin abscess
- Necrotizing soft tissue infections
- Mycobacterium marinum
Look-A-Likes
- Sporotrichosis
- Osteomyelitis
- Deep venous thrombosis
- Pyomyositis
- Purple glove syndrome
- Tuberculosis (tuberculous inflammation of the skin)
Necrotizing rashes
- Necrotizing soft tissue infections
- Purpura fulminans
- Drug rash
- Levamisole toxicity
- Heparin-induced skin necrosis
- Warfarin-induced skin necrosis
Diagnostic Evaluation
Management
- Same as Necrotizing Fasciitis
Disposition
- Admit/OR