Delayed chest wall abscess after blunt trauma chest leading to multi-organ failure: A case report

Blunt Trauma Chest (BTC) is a common cause of morbidity and mortality in trauma patients. Although rib fractures, haemothorax, pneumothorax and lung contusions are often found in tandem in BTC, delayed necrotising soft tissue infection (NSTI) without any penetrating injuries or overt puncture wounds...

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Main Authors: Binayak Deb, V.M. Balasubramani, Ram Varaham, Ramesh Vaidyanathan
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Trauma Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2352644025000457
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author Binayak Deb
V.M. Balasubramani
Ram Varaham
Ramesh Vaidyanathan
author_facet Binayak Deb
V.M. Balasubramani
Ram Varaham
Ramesh Vaidyanathan
author_sort Binayak Deb
collection DOAJ
description Blunt Trauma Chest (BTC) is a common cause of morbidity and mortality in trauma patients. Although rib fractures, haemothorax, pneumothorax and lung contusions are often found in tandem in BTC, delayed necrotising soft tissue infection (NSTI) without any penetrating injuries or overt puncture wounds have rarely been reported. We report a 61-year-old patient with uncontrolled diabetes, admitted after a motor vehicle collision with head, chest and lower limb injuries and discharged after 9 days of stay in the hospital. He returned with NSTI of the chest wall around a week later with a fulminant clinical course ultimately leading to septic shock, multi-organ dysfunction and demise of the patient.
format Article
id doaj-art-dde9611eff134eff8cf3e8f1333b4a3e
institution Kabale University
issn 2352-6440
language English
publishDate 2025-05-01
publisher Elsevier
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series Trauma Case Reports
spelling doaj-art-dde9611eff134eff8cf3e8f1333b4a3e2025-08-20T03:45:06ZengElsevierTrauma Case Reports2352-64402025-05-015710116810.1016/j.tcr.2025.101168Delayed chest wall abscess after blunt trauma chest leading to multi-organ failure: A case reportBinayak Deb0V.M. Balasubramani1Ram Varaham2Ramesh Vaidyanathan3Trauma Intensive care unit, Ganga Medical Centre and Hospitals Private Limited, Coimbatore, Tamil Nadu, IndiaTrauma Intensive care unit, Ganga Medical Centre and Hospitals Private Limited, Coimbatore, Tamil Nadu, India; Corresponding author at: 4th floor, A block, trauma ICU, Ganga Medical Centre and Hospitals Private Limited, Coimbatore, Tamil Nadu, India.Trauma Intensive care unit, Ganga Medical Centre and Hospitals Private Limited, Coimbatore, Tamil Nadu, IndiaDepartment of Trauma surgery, Ganga medical Centre and Hospitals Private Limited, Coimbatore, Tamil Nadu, IndiaBlunt Trauma Chest (BTC) is a common cause of morbidity and mortality in trauma patients. Although rib fractures, haemothorax, pneumothorax and lung contusions are often found in tandem in BTC, delayed necrotising soft tissue infection (NSTI) without any penetrating injuries or overt puncture wounds have rarely been reported. We report a 61-year-old patient with uncontrolled diabetes, admitted after a motor vehicle collision with head, chest and lower limb injuries and discharged after 9 days of stay in the hospital. He returned with NSTI of the chest wall around a week later with a fulminant clinical course ultimately leading to septic shock, multi-organ dysfunction and demise of the patient.http://www.sciencedirect.com/science/article/pii/S2352644025000457Blunt trauma chestDelayed necrotising soft tissue infectionSeptic shock
spellingShingle Binayak Deb
V.M. Balasubramani
Ram Varaham
Ramesh Vaidyanathan
Delayed chest wall abscess after blunt trauma chest leading to multi-organ failure: A case report
Trauma Case Reports
Blunt trauma chest
Delayed necrotising soft tissue infection
Septic shock
title Delayed chest wall abscess after blunt trauma chest leading to multi-organ failure: A case report
title_full Delayed chest wall abscess after blunt trauma chest leading to multi-organ failure: A case report
title_fullStr Delayed chest wall abscess after blunt trauma chest leading to multi-organ failure: A case report
title_full_unstemmed Delayed chest wall abscess after blunt trauma chest leading to multi-organ failure: A case report
title_short Delayed chest wall abscess after blunt trauma chest leading to multi-organ failure: A case report
title_sort delayed chest wall abscess after blunt trauma chest leading to multi organ failure a case report
topic Blunt trauma chest
Delayed necrotising soft tissue infection
Septic shock
url http://www.sciencedirect.com/science/article/pii/S2352644025000457
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AT vmbalasubramani delayedchestwallabscessafterblunttraumachestleadingtomultiorganfailureacasereport
AT ramvaraham delayedchestwallabscessafterblunttraumachestleadingtomultiorganfailureacasereport
AT rameshvaidyanathan delayedchestwallabscessafterblunttraumachestleadingtomultiorganfailureacasereport