TY - JOUR
T1 - Necrotizing Fasciitis as a Complication of a Continuous Sciatic Nerve Catheter Using the Lateral Popliteal Approach
AU - Dott, Daltry
AU - Canlas, Christopher
AU - Sobey, Christopher
AU - Obremskey, William
AU - Thomson, Andrew Brian
PY - 2016/11/1
Y1 - 2016/11/1
N2 - Objective Necrotizing fasciitis is an infection of the soft tissue that is characterized by rapidly spreading inflammation and subsequent necrosis. It is a rare complication of peripheral nerve blocks. We report a rare case of necrotizing fasciitis after placement of a peripheral nerve catheter. Case Report A 58-year-old woman presented for an elective right second metatarsal resection and received a sciatic nerve catheter for postoperative pain control. On postoperative day 7, clinical examination and imaging supported the diagnosis of necrotizing fasciitis. Conclusions Multiple reports have been published of necrotizing fasciitis after single-shot peripheral nerve block injections, neuraxial anesthesia, and intramuscular injections. This case highlights the potential for the rare complication of necrotizing fasciitis after peripheral nerve catheter placement.
AB - Objective Necrotizing fasciitis is an infection of the soft tissue that is characterized by rapidly spreading inflammation and subsequent necrosis. It is a rare complication of peripheral nerve blocks. We report a rare case of necrotizing fasciitis after placement of a peripheral nerve catheter. Case Report A 58-year-old woman presented for an elective right second metatarsal resection and received a sciatic nerve catheter for postoperative pain control. On postoperative day 7, clinical examination and imaging supported the diagnosis of necrotizing fasciitis. Conclusions Multiple reports have been published of necrotizing fasciitis after single-shot peripheral nerve block injections, neuraxial anesthesia, and intramuscular injections. This case highlights the potential for the rare complication of necrotizing fasciitis after peripheral nerve catheter placement.
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U2 - 10.1097/AAP.0000000000000482
DO - 10.1097/AAP.0000000000000482
M3 - Article
C2 - 27662064
AN - SCOPUS:84994229108
SN - 1098-7339
VL - 41
SP - 728
EP - 730
JO - Regional anesthesia and pain medicine
JF - Regional anesthesia and pain medicine
IS - 6
ER -