caa a22 4500 463210603 CHVBK 20180405153139.0 cr unu---uuuuu 170326e20070601xx s 000 0 eng 10.1007/s00238-007-0130-1 doi (NATIONALLICENCE)springer-10.1007/s00238-007-0130-1 Necrotizing fasciitis after a honey bee sting [Elektronische Daten] [H. Ryssel, C. Heitmann, G. Germann, M. Öhlbauer] Necrotizing soft-tissue infections such as necrotizing fasciitis continue to have a high morbidity and mortality. More and more, these difficult cases are being referred to burn centers for specialized wound and critical care treatment. The case of a necrotizing soft-tissue infection after a honeybee sting is reported. To the best of our knowledge, it is the first documented case of necrotizing fasciitis caused by invasive group A Streptococcus from a bee sting. A 56-year-old man was stung by a bee in the left upper gluteal region. The sting was removed by the patient. Within hours, erythema, swelling, itching, and pain developed. On day 7, after the bee sting, the patient was admitted to a general surgery department with progressive skin and soft-tissue necrosis around the hip and the upper left leg. Because of the rapidly deteriorating condition, the patient was referred to our burn ICU with the picture of a progressive necrotizing fasciitis. The skin necrosis required immediate epifascial necrectomy. Additionally local therapy with topical antiseptics was performed. The surface was temporarily covered with xenograft, definitive coverage was achieved with autologuous skin graft transplantation. Advancements in wound care and critical care, which have become standard in the treatment protocols of patients with necrotizing soft-tissue infections, have markedly improved the prognosis. However, these infections continue to be a source of high morbidity and mortality and significant healthcare resource consumption. These challenging patients are best served with prompt diagnosis, immediate radical surgical debridement, and aggressive critical care management. Referral to a burn center may help to provide best possible surgical intervention, wound care, and critical care management. Springer-Verlag, 2007 Bee sting nationallicence Soft-tissue infections nationallicence Critical care issues nationallicence Burn centers nationallicence Ryssel H. Department for Hand-, Plastic- and Reconstructive Surgery—Intensive Burn Care Unit, BG-Trauma Center, Department for Plastic and Handsurgery, The University of Heidelberg, Ludwig Guttmann Strasse 13, 67071, Ludwigshafen, Germany aut Heitmann C. Department for Hand-, Plastic- and Reconstructive Surgery—Intensive Burn Care Unit, BG-Trauma Center, Department for Plastic and Handsurgery, The University of Heidelberg, Ludwig Guttmann Strasse 13, 67071, Ludwigshafen, Germany aut Germann G. Department for Hand-, Plastic- and Reconstructive Surgery—Intensive Burn Care Unit, BG-Trauma Center, Department for Plastic and Handsurgery, The University of Heidelberg, Ludwig Guttmann Strasse 13, 67071, Ludwigshafen, Germany aut Öhlbauer M. Department for Hand-, Plastic- and Reconstructive Surgery—Intensive Burn Care Unit, BG-Trauma Center, Department for Plastic and Handsurgery, The University of Heidelberg, Ludwig Guttmann Strasse 13, 67071, Ludwigshafen, Germany aut European Journal of Plastic Surgery Springer-Verlag 30/1(2007-06-01), 11-14 0930-343X 30:1<11 2007 30 238 https://doi.org/10.1007/s00238-007-0130-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00238-007-0130-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Ryssel H. Department for Hand-, Plastic- and Reconstructive Surgery—Intensive Burn Care Unit, BG-Trauma Center, Department for Plastic and Handsurgery, The University of Heidelberg, Ludwig Guttmann Strasse 13, 67071, Ludwigshafen, Germany aut NATIONALLICENCE 700 1- Heitmann C. Department for Hand-, Plastic- and Reconstructive Surgery—Intensive Burn Care Unit, BG-Trauma Center, Department for Plastic and Handsurgery, The University of Heidelberg, Ludwig Guttmann Strasse 13, 67071, Ludwigshafen, Germany aut NATIONALLICENCE 700 1- Germann G. Department for Hand-, Plastic- and Reconstructive Surgery—Intensive Burn Care Unit, BG-Trauma Center, Department for Plastic and Handsurgery, The University of Heidelberg, Ludwig Guttmann Strasse 13, 67071, Ludwigshafen, Germany aut NATIONALLICENCE 700 1- Öhlbauer M. Department for Hand-, Plastic- and Reconstructive Surgery—Intensive Burn Care Unit, BG-Trauma Center, Department for Plastic and Handsurgery, The University of Heidelberg, Ludwig Guttmann Strasse 13, 67071, Ludwigshafen, Germany aut NATIONALLICENCE 773 0- European Journal of Plastic Surgery Springer-Verlag 30/1(2007-06-01), 11-14 0930-343X 30:1<11 2007 30 238 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer