Journal of Nephrology & Therapeutics

Chirn-Bin Chang

Publications

• Case Report
  Necrotizing Fasciitis in a Patient with Minimal Change Disease
  Author(s): Jyun-Jie Cai, Chia-Chu Chang and Chirn-Bin ChangJyun-Jie Cai, Chia-Chu Chang and Chirn-Bin Chang
  
  Nephrotic syndrome complicated by necrotizing fasciitis is rare. Necrotizing fasciitis is a skin and soft tissue infection with a rapid progression and difficult diagnosis. Moreover, the early presentation of necrotizing fasciitis is similar to that of cellulitis. Serratia marcescens is a rare pathogenic cause of necrotizing fasciitis, even in skin and soft tissue infection. We present a patient with nephrotic syndrome complicated by necrotizing fasciitis caused by Serratia marcescens. A 49-year-old Chinese woman presented with minimal change disease and nephritic syndrome. She was admitted for pain in her right leg, for which she received cefazolin and clindamycin. However, 3 days later, a sanguineous bulla developed over her left calf, and she developed septic shock. After an emergency fasciotomy and broad-spectrum antibiotic administration, this patient died 12 h after fasciotomy. .. Read More»
  DOI: 10.4172/2161-0959.1000126

  Abstract PDF