Severe upper limb soft tissue infection with compartment syndrome following a scratch injury: a case report.
Alexander Blümke, Suna Brunnemer, Frederik Weil et al.
✦ AI-curated · Sources linked
Case in brief
A 58-year-old female teacher developed a severe soft tissue infection in her left arm following a minor scratch from a student. Initial antibiotic treatment failed, leading to phlegmon, compartment syndrome, sepsis, and multiorgan failure. Urgent surgical intervention, including fasciotomy and debridement, was necessary. The patient eventually recovered after hemodialysis and rehabilitation, but significant functional deficits remained.
What made this case unusual
The rapid progression from a minor scratch injury to severe phlegmon and compartment syndrome, resulting in multiorgan failure, is an atypical and alarming outcome.
Diagnostic / clinical pearl
Clinicians should be vigilant in monitoring seemingly minor skin injuries for signs of severe infection, as early intervention is crucial to prevent serious complications.
Why it matters
This case illustrates the potential for rapid deterioration in soft tissue infections, emphasizing the need for prompt recognition and aggressive management to avoid life-threatening outcomes.