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- benign subcutaneous emphysema
- subfascial emphysema
- insect bite
- gas-forming infection
- infectious diseases
A 13-year-old boy presented 24 hours after noticing an insect bite on his left forearm (figure 1A). Perilesional erythema with a blister, crepitation and progressive pain started 12 hours before presentation. On admission, vital signs, inflammatory parameters, creatinine (kinase) and lactate were normal. Left arm and ventral hemithorax were swollen with crepitation, chest physical examination was inconspicuous. CT showed subfascial emphysema (figure 1B).
Contributors The authors were all involved in treatment of patient. MN performed data collection, analysis and article writing. R-BT performed surgery and contributed to critical revision. WF performed anesthesia and provided pictures. MB, VS and WF contributed to critical revision.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.