Necrotising fasciitis caused by adulterated traditional Asian medicine: a case report.
case_report · Level V
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Abstract
Necrotising fasciitis can be life threatening, requiring prompt diagnosis and surgical debridement. We report a case of necrotising fasciitis caused by an adulterate traditional Asian medication--Jamu Pegal Linu, containing toxic levels of phenylbutazone and dipyrone. The patient presented with severe neutropenia and sepsis. An urgent extensive debridement was carried out (within 6 hours of presentation). Repeated debridements were performed on days 2 and 5, augmented with antibiotics and granulocyte colony-stimulating factor.
Medical subject headings
- Anti-Inflammatory Agents, Non-Steroidal
- Dipyrone
- Fasciitis, Necrotizing
- Medicine, East Asian Traditional
- Phenylbutazone