Case report: necrotising fasciitis with epidural abscess
YS Sia and YT WongNecrotising fasciitis is relatively uncommon in Hong Kong. Its rapid progression and deterioration is the reason for high mortality. We report a patient who presented with this condition which was complicated with epidural abscess after incision and drainage. Early recognition is the key to save the patient. (Hong Kong j.emerg.med. 2003;10:49-53)
Substance abuse is a common presentation to Emergency Departments (ED). A case of gammahydroxybutyrate (GHB) presented to our ED is reported, its clinical history and findings, biochemical and toxicity is discussed. This drug affects the neurological, muscular, biochemical and sexual function.
Head and neck injuries are very common in Hong Kong, especially resulting from assaulted or traffic accidents. Delayed manifestation of post-traumatic carotid thrombo-embolism and aneurismal formation are known pitfalls that emergency physicians and neurosurgeons may encounter. We present a patient with blunt neck injury with the complication of traumatic dissection of the extracranial internal carotid artery.
We reported two patients who presented with non-specific chest symptoms with ECG changes mimicking acute myocardial infarction and ventricular hypertrophy. Both of them were finally confirmed to have Wolff-Parkinson-White (WPW) syndrome after spontaneous resolution of the ECG changes. As a matter of fact, other differential diagnosis should be considered with respect to the ST-segment changes. Diagnostic pitfalls can be avoided by detailed analysis of the ECG before commencement of thrombolytic agents.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.