Fatal Salmonella Typhi Necrotising Fasciitis following Intra-articular Steroid Injection

Authors

DOI:

https://doi.org/10.22502/jlmc.v1i2.36

Keywords:

necrotising fasciitis, salmonella, steroid injection

Abstract

Intra-articular steroids administration in the absence of aseptic precautions can have disastrous consequences. Immunocompromised patients are at an increased risk of developing infections following such procedures. Salmonella has been infrequently reported as a causative organism for necrotising fasciitis. Gram negative endotoxemia with disseminated intravascular coagulation resulted in fatality in this patient. The case study is being presented to emphasise the need for aseptic precautions and sterile techniques while administering intra-articular steroids, to have a low threshold towards treating early joint infections expeditiously, and to consider possibility of a gram negative organism as a cause of septicaemia and necrotising fasciitis especially in debilitated patients.

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Author Biographies

  • Sagar Narang, Lumbini Medical College

    Associate Professor

    Department of Orthopaedic Surgery

  • Prakash Sapkota, Lumbini Medical College

    Assistant Professor

    Department of Surgery

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Published

2013-12-30

Issue

Section

Case Report

How to Cite

1.
Fatal Salmonella Typhi Necrotising Fasciitis following Intra-articular Steroid Injection. J Lumbini Med Coll [Internet]. 2013 Dec. 30 [cited 2026 Feb. 1];1(2):125-7. Available from: https://jlmc.edu.np/index.php/JLMC/article/view/36

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