常规宫颈射频消融治疗后因坏死性筋膜炎猝死。

IF 1 4区医学 Q3 MEDICINE, LEGAL

American Journal of Forensic Medicine and Pathology Pub Date : 2024-07-18 DOI:10.1097/PAF.0000000000000976

Ravi Trivedi, Joyce L deJong, Patrick A Hansma

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引用次数: 0

摘要

摘要：颈椎切面神经切断术，又称颈椎射频消融术（RFA）或颈椎切面根切术，是一种旨在通过消融神经元缓解因颈椎切面关节相关问题引起的慢性颈部疼痛的医疗手术（J Pain Res 2021;14:2807-2831）。尽管该疗法总体上是安全的，但也会发生不良事件。感染是这种手术的罕见后果。大多数与颈椎射频消融相关的注射部位感染都会自发发生，口服抗生素后即可缓解，不会留下后遗症（World Neurosurg 2018;111:e644-e648）。我们报告了一例颈部 RFA 注射导致坏死性筋膜炎并最终死亡的病例。据我们所知，这是以前从未报道过的病例，也是首例因颈部RFA手术感染性后遗症导致死亡的病例。

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Sudden Death Due to Necrotizing Fasciitis After Routine Cervical Radiofrequency Ablation Treatment.

Abstract: Cervical facet joint neurotomy, also known as cervical radiofrequency ablation (RFA) or cervical facet rhizotomy, is a medical procedure aimed at alleviating chronic neck pain caused by issues related to the cervical facet joints through ablation of neurons (J Pain Res 2021;14:2807-2831). Although generally safe, adverse events can occur. Infection is a rare consequence of this procedure. Most injection-site infections related to cervical RFA occur spontaneously and resolve with oral antibiotics without sequelae (World Neurosurg 2018;111:e644-e648). We report a case in which a cervical RFA injection resulted in the development of necrotizing fasciitis and ultimately death. To our knowledge, this has not been previously reported and is the first documented fatality due to infectious sequelae of a cervical RFA procedure.

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来源期刊

American Journal of Forensic Medicine and Pathology 医学-病理学

CiteScore

1.80

自引率

0.00%

发文量

103

审稿时长

4-8 weeks

期刊介绍： Drawing on the expertise of leading forensic pathologists, lawyers, and criminologists, The American Journal of Forensic Medicine and Pathology presents up-to-date coverage of forensic medical practices worldwide. Each issue of the journal features original articles on new examination and documentation procedures. While most articles are available as web based articles, PDF and in ePub reader format, some earlier articles do not have PDFs available. If you would like to view an article in the ePub format, you will need to download an ePub reader to view this file, a number of which are available for free online.