57-291
Enfisema subcutáneo benigno: un caso raro y revisión de la literatura
Benign subcutaneous emphysema: a rare case and review of the literatura
FURIÓ SANCHIS L, ESCRIVÀ LLORET A, PASTOR FERNÁNDEZ E, MIFSUT MIEDES D. HOSPITAL UNIVERSITARIO FRANCESC DE BORJA DE GANDIA
Recepción:
31/10/2022
Aceptación:
31/10/2022
Publicación:
31/10/2022
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Resumen (ES)
A 73-year-old woman who came to the emergency department referred by her gp doctor due a finding of crepitus and local
temperature increase, on the examination of the left upper limb. She has a wound on her left elbow, in the process of
healing by secondary intention, after a fall 4 days ago. She associates not feeling good at all, chills and even some fever
peak. Laboratory findings reveal slightly elevated inflammatory markers. Computed tomography shows subcutaneous
emphysema and some bubbles between muscle planes. Given the possible emergency situation, it decided to put the
patient nil by mouth to go to theatre as soon as possible and be admitted to the ward with intravenous antibiotic treatment.
However, the patient was stable at all times and with the good evolution during the time she was in the ward, presenting
clinical improvement and analytical stability, it was decided to discharge her after 3 days
temperature increase, on the examination of the left upper limb. She has a wound on her left elbow, in the process of
healing by secondary intention, after a fall 4 days ago. She associates not feeling good at all, chills and even some fever
peak. Laboratory findings reveal slightly elevated inflammatory markers. Computed tomography shows subcutaneous
emphysema and some bubbles between muscle planes. Given the possible emergency situation, it decided to put the
patient nil by mouth to go to theatre as soon as possible and be admitted to the ward with intravenous antibiotic treatment.
However, the patient was stable at all times and with the good evolution during the time she was in the ward, presenting
clinical improvement and analytical stability, it was decided to discharge her after 3 days
Palabras clave (ES):
benigno
Enfisema
fasciitis
necrotizante
subcutáneo
Resumen (EN)
A 73-year-old woman who came to the emergency department referred by her gp doctor due a finding of crepitus and local
temperature increase, on the examination of the left upper limb. She has a wound on her left elbow, in the process of
healing by secondary intention, after a fall 4 days ago. She associates not feeling good at all, chills and even some fever
peak. Laboratory findings reveal slightly elevated inflammatory markers. Computed tomography shows subcutaneous
emphysema and some bubbles between muscle planes. Given the possible emergency situation, it decided to put the
patient nil by mouth to go to theatre as soon as possible and be admitted to the ward with intravenous antibiotic treatment.
However, the patient was stable at all times and with the good evolution during the time she was in the ward, presenting
clinical improvement and analytical stability, it was decided to discharge her after 3 days
temperature increase, on the examination of the left upper limb. She has a wound on her left elbow, in the process of
healing by secondary intention, after a fall 4 days ago. She associates not feeling good at all, chills and even some fever
peak. Laboratory findings reveal slightly elevated inflammatory markers. Computed tomography shows subcutaneous
emphysema and some bubbles between muscle planes. Given the possible emergency situation, it decided to put the
patient nil by mouth to go to theatre as soon as possible and be admitted to the ward with intravenous antibiotic treatment.
However, the patient was stable at all times and with the good evolution during the time she was in the ward, presenting
clinical improvement and analytical stability, it was decided to discharge her after 3 days
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