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A Case of Rituximab-Induced Necrotizing Fasciitis and a Review of the Literature
Journal article   Open access   Peer reviewed

A Case of Rituximab-Induced Necrotizing Fasciitis and a Review of the Literature

Abdullateef Abdulkareem, Ryan S. D'Souza, Oluwaseun Shogbesan and Anthony Donato
Case reports in hematology, v 2017, pp 1-5
01 Jan 2017
PMID: 29082050
url
https://doi.org/10.1155/2017/6971027View
Published, Version of Record (VoR) Open

Abstract

Case Report
Necrotizing fasciitis is a fulminant soft tissue infection characterized by rapid progression and high mortality. Rituximab is a generally well-tolerated immunosuppresive medication used for B-cell malignancies and some rheumatological disorders. We report a case of a 69-year-old male with chronic lymphocytic leukemia who suffered necrotizing fasciitis of his left lower extremity secondary to Clostridium septicum 7 weeks after treatment with rituximab. Despite immediate intravenous antimicrobial therapy and emergent fasciotomy with extensive debridement, his hospital course was complicated by septic shock and he required an above-the-knee amputation. Physicians need to be aware of the possibility of necrotizing fasciitis in patients presenting with skin infections after rituximab therapy.

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Web of Science research areas
Hematology
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