PT  - JOURNAL ARTICLE
AU  - G H Smith
AU  - J S Huntley
AU  - G F Keenan
TI  - Necrotising myositis: a surgical emergency that may have minimal changes in the skin
AID  - 10.1136/emj.2006.041723
DP  - 2007 Feb 01
TA  - Emergency Medicine Journal
PG  - e8--e8
VI  - 24
IP  - 2
4099  - http://emj.bmj.com/content/24/2/e8.short
4100  - http://emj.bmj.com/content/24/2/e8.full
SO  - Emerg Med J2007 Feb 01; 24
AB  - 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.