J Accid Emerg Med 14:52-54 doi:10.1136/emj.14.1.52
  • Research Article

Necrotising fasciitis as a complication of steroid injection.

  1. R Birkinshaw,
  2. J O'Donnell,
  3. I Sammy
  1. Department of Emergency Medicine, Hope Hospital, Salford, United Kingdom.


      Necrotising fasciitis is described as a complication of steroid injection of a painful shoulder in a previously well female. This case highlights a very rare life threatening emergency after steroid injection. Early recognition, resuscitation, and aggressive surgical management are essential to prevent mortality in this condition.

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      Among patients with minor TBI (GCS 13-15) getting CT scans ≥ 24 hours after injury, what proportion have a traumatic finding?


      0.5% - 43% response rate
      3% - 41% response rate
      10% - 16% response rate

      Related original article: PCT head imaging in patients with head injury who present after 24 h of injury: a retrospective cohort study

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