Critical Findings of Routine Chest X-ray in the Management of HHS and Sepsis

Image Challenge No. 2

Abstract

Necrotizing soft tissue infection (NSTI) is an uncommon but serious illness with high mortality if surgical debridement and antibiotic treatment are delayed. Provider awareness, early recognition, and aggressive treatment are therefore paramount to decreasing mortality. Here we present an impressive case of NSTI with minimal outward clinical manifestations that was initially identified by careful interpretation of a routine chest x-ray.