TY - JOUR T1 - Necrotising myositis: a surgical emergency that may have minimal changes in the skin JF - Emergency Medicine Journal JO - Emerg Med J SP - e8 LP - e8 DO - 10.1136/emj.2006.041723 VL - 24 IS - 2 AU - G H Smith AU - J S Huntley AU - G F Keenan Y1 - 2007/02/01 UR - http://emj.bmj.com/content/24/2/e8.abstract N2 - 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. ER -