J Acute Care Surg.  2024 Nov;14(3):134-137. 10.17479/jacs.2024.14.3.134.

Necrotizing Fasciitis Following Peripheral Intravenous Cannulation in Laos

Affiliations
  • 1Armed Forced Trauma Center, Armed Forces Capital Hospital, Seongnam, Republic of Korea
  • 2Department of Orthopedic Surgery, Armed Forces Capital Hospital, Seongnam, Republic of Korea
  • 3Department of Surgery, Korea University Guro Hospital, Seoul, Republic of Korea

Abstract

A year on from the end of coronavirus disease pandemic, there has been a resurgence in interest in international travel from South Korea. In the event of unexpected illness whilst abroad, there is a lack of information regarding the provision of medical services, repatriation, and treatment outcomes, both abroad and upon return to South Korea. A 39-year-old male experienced swelling, redness, and severe pain in his right upper arm, axilla, and anterior chest wall after undergoing intravenous cannulation in Laos. He received treatment in South Korea, 5 days after symptom onset, delayed by his travel back to South Korea. Upon diagnosis of necrotizing fasciitis emergency surgery was conducted promptly. Subsequently, he underwent multiple surgeries. The patient`s wound was closed 13 days postadmission. He was discharged on the 33rd day without complications, although continued rehabilitation was required.

Keyword

debridement, Laos, necrotizing fasciitis
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