PMID- 34660089
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20211022
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 13
IP  - 9
DP  - 2021 Sep
TI  - Monomicrobial Necrotizing Fasciitis of the Breast: A Case Managed by Partial 
      Mastectomy and Hydrogel Dressing.
PG  - e17891
LID - 10.7759/cureus.17891 [doi]
LID - e17891
AB  - Necrotizing fasciitis (NF) is a rare life-threatening bacterial infection, which 
      can be monomicrobial or polymicrobial, involving the fascia and eventually 
      leading to necrosis. The course of the disease is rapidly progressive and can be 
      misdiagnosed as an abscess or cellulitis. The disease requires more attention 
      with respect to early diagnosis and treatment as it has a high mortality rate. In 
      this report, we present the case of a 60-year-old female, who was a known case of 
      hypertension and type 2 diabetes mellitus (T2DM). The patient presented to the 
      emergency department on the 21st of October 2020, complaining of left breast pain 
      for 10 days, which was associated with fever and nausea. On physical examination, 
      the left breast was swollen and tender to palpation. There was a single patch of 
      inflamed skin measuring 1 x 1 cm with greenish discoloration in the inframammary 
      fold. Ultrasound of the breast showed a patch of focal mastitis with edema seen 
      at 4-8 o'clock with no underlying fluid collection. She was admitted as a case of 
      left breast abscess and was started on antibiotics. Despite the antibiotic 
      therapy, the patient was still febrile and developed two more inflammatory and 
      necrotic patches with no discharge. The patient underwent urgent surgical 
      debridement of the necrotic tissues, leaving the wound packed for postoperative 
      dressing. The patient stayed in isolation for a total of 25 days as she was found 
      to be positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). 
      The surgical wound was closed, and the patient was discharged. Early diagnosis 
      and management of NF is the key to saving the patient's life and improving 
      outcomes.
CI  - Copyright (c) 2021, Mersil et al.
FAU - Mersil, Mohammed
AU  - Mersil M
AD  - Department of General Surgery, Mubarak Alkabeer Hospital, Aljabriya, KWT.
FAU - Marzouk, Mohammed
AU  - Marzouk M
AD  - Department of General Surgery, Al-Adan Hospital, Hadiya, KWT.
FAU - Labeeb, Hamad
AU  - Labeeb H
AD  - Department of General Surgery, Al-Adan Hospital, Hadiya, KWT.
LA  - eng
PT  - Case Reports
DEP - 20210911
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC8504681
OTO - NOTNLM
OT  - breast
OT  - hypertension
OT  - monomicrobial
OT  - necrotizing fasciitis
OT  - obesity
OT  - partial mastectomy
OT  - streptococcus pyogenes
COIS- The authors have declared that no competing interests exist.
EDAT- 2021/10/19 06:00
MHDA- 2021/10/19 06:01
PMCR- 2021/09/11
CRDT- 2021/10/18 09:03
PHST- 2021/09/11 00:00 [accepted]
PHST- 2021/10/18 09:03 [entrez]
PHST- 2021/10/19 06:00 [pubmed]
PHST- 2021/10/19 06:01 [medline]
PHST- 2021/09/11 00:00 [pmc-release]
AID - 10.7759/cureus.17891 [doi]
PST - epublish
SO  - Cureus. 2021 Sep 11;13(9):e17891. doi: 10.7759/cureus.17891. eCollection 2021 
      Sep.