TY - JOUR T1 - Benign muscular emphysema mimicking gas-forming infection JF - Archives of Disease in Childhood JO - Arch Dis Child SP - 398 LP - 398 DO - 10.1136/archdischild-2018-316219 VL - 105 IS - 4 AU - Matthias Nissen AU - Micha Bahr AU - Volker Sander AU - Werner Finke AU - Ralf-Bodo Tröbs Y1 - 2020/04/01 UR - http://adc.bmj.com/content/105/4/398.abstract N2 - 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 unremarkable. CT showed subfascial emphysema (figure 1B).Figure 1 (A) Insect bite with perilesional erythema on the left forearm. (B) Non-enhanced CT depicting gas … ER -