Skip Navigation



BJA Advance Access published online on January 22, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh065
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
92/3/427    most recent
aeh065v1
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Nseir, S.
Right arrow Articles by Durocher, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Nseir, S.
Right arrow Articles by Durocher, A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Accepted July 29, 2003

Case Reports

Fatal streptococcal necrotizing fasciitis as a complication of axillary brachial plexus block

S. Nseir 1*, P. Pronnier 1, S. Soubrier 1, T. Onimus 1, F. Saulnier 1, D. Mathieu 1, A. Durocher 1

1 Service de Réanimation Médicale, Hôpital Calmette, CHRU, boulevard du Pr. Leclercq, F-59037 Lille cedex, France

* To whom correspondence should be addressed. E-mail: s-nseir{at}chru-lille.fr.


  Abstract

A 74-yr-old diabetic woman developed necrotizing fasciitis of the right upper limb after axillary brachial plexus block for carpal tunnel decompression. Clinical signs included oedema, diffuse swelling and bullae; rapidly followed by toxic shock syndrome and multiorgan failure. The patient died 48 h after hospital admission, despite broad-spectrum antibiotics, surgical treatment and supportive measures for the management of shock and multiorgan failure. Cultures yielded group A Streptococcus. Delay in antibiotic and surgical treatment probably affected the outcome. Early diagnosis and treatment are essential to improve the outcome of streptococcal necrotizing fasciitis.

Br J Anaesth 2004

Keywords: Keywords: anaesthesia, regional; anaesthetic techniques, regional, axillary brachial plexus block; complications, necrotizing fasciitis; complications, streptococcal infection; complications, toxic shock syndrome


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
S. Head and F. K. Enneking
Infusate Contamination in Regional Anesthesia: What Every Anesthesiologist Should Know
Anesth. Analg., October 1, 2008; 107(4): 1412 - 1418.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
X. Capdevila, S. Jaber, P. Pesonen, A. Borgeat, and J.-J. Eledjam
Acute Neck Cellulitis and Mediastinitis Complicating a Continuous Interscalene Block
Anesth. Analg., October 1, 2008; 107(4): 1419 - 1421.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
A. Borgeat, S. Blumenthal, M. Lambert, P. Theodorou, and P. Vienne
The feasibility and complications of the continuous popliteal nerve block: a 1001-case survey.
Anesth. Analg., July 1, 2006; 103(1): 229 - 233.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.