• Emerg Med J · Feb 2007

    Case Reports

    Necrotising myositis: a surgical emergency that may have minimal changes in the skin.

    • G H Smith, J S Huntley, and G F Keenan.
    • Department of Orthopaedics, Royal Infirmary Edinburgh, UK. georgesmith@doctors.org.uk
    • Emerg Med J. 2007 Feb 1; 24 (2): e8.

    AbstractNecrotising myositis is a surgical emergency. It is underappreciated that it may present without changes in the skin. Diagnosis is therefore often delayed. We describe a case of necrotising myositis necessitating glenohumeral disarticulation. Remarkable features were the absence of skin signs and the rapidity with which the patient became extremely septic. A review of the literature has shown the importance of early diagnosis and quick decision making to minimise mortality.

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