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Necrotising myositis: a surgical emergency that may have minimal changes in the skin
  1. G H Smith,
  2. J S Huntley,
  3. G F Keenan
  1. Department of Orthopaedics, Royal Infirmary Edinburgh, UK
  1. Correspondence to:
 G Smith
 Department of Orthopaedics, Royal Infirmary Edinburgh, UK; georgesmith{at}


Necrotising myositis is a surgical emergency. It is underappreciated that it may present without changes in the skin. Diagnosis is therefore often delayed. We describe a case of necrotising myositis necessitating glenohumeral disarticulation. Remarkable features were the absence of skin signs and the rapidity with which the patient became extremely septic. A review of the literature has shown the importance of early diagnosis and quick decision making to minimise mortality.

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  • Competing interests: None.

  • Patient consent has been gained for publication.