{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:04Z","timestamp":1753877164722,"version":"3.41.2"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T00:00:00Z","timestamp":1718064000000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Necrotizing fasciitis, a rare, potentially life-threatening infection, often necessitates urgent medical intervention and surgical excision of the affected tissue. We present a 55-year-old male patient with a progressively enlarging lump in the left breast that was diagnosed as a breast carcinoma. Post-modified radical mastectomy, histopathological examination revealed Grade II invasive ductal carcinoma with neuroendocrine features. Due to financial constraints, the patient missed post-operative follow-ups and did not complete the prescribed radiotherapy sessions. Three months later, the patient returned with fever, swelling alongside sharp pain in the left arm and oozing blood. A clinical diagnosis of necrotizing fasciitis was made, leading to urgent surgical debridement. While the wound progressively healed, a contracture developed restricting elbow movement. An Orthopedic Review and Bone scintigraphy revealed metastasis of breast carcinoma to the sternum. This case report highlights the multi-disciplinary management required in such financially constrained rare cases in low- and middle-income countries.<\/jats:p>","DOI":"10.1093\/jscr\/rjae412","type":"journal-article","created":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T21:38:31Z","timestamp":1718141911000},"source":"Crossref","is-referenced-by-count":0,"title":["Multidisciplinary management of necrotizing fasciitis as a postoperative complication after mastectomy in an adult male in a low- and middle-income country"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3331-6901","authenticated-orcid":false,"given":"Mohammad Aadil","family":"Qamar","sequence":"first","affiliation":[{"name":"Research Department, Research X , Karachi, 75600, Pakistan"},{"name":"Department of Surgery, Ziauddin University , Karachi, 75600, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alishba","family":"Rehman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Peoples University of Medical and Health Sciences for Women , Nawabshah 67840, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Habib ur Rehman","family":"Toor","sequence":"additional","affiliation":[{"name":"Peoples University of Medical and Health Sciences for Women Department Surgical Unit II, , Nawabshah 67840, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,6,11]]},"reference":[{"author":"Breast cancer","key":"2024061110091920000_ref1"},{"volume-title":"Necrotizing Fasciitis","year":"2023","author":"Wallace","key":"2024061110091920000_ref2"},{"key":"2024061110091920000_ref3","doi-asserted-by":"crossref","DOI":"10.2106\/00004623-200404000-00030","article-title":"Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality","volume":"86","author":"Schnall","year":"2004","journal-title":"J Bone Joint Surg"},{"key":"2024061110091920000_ref4","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1007\/s00068-021-01706-z","article-title":"Prognostic factors for mortality in 123 severe cases of necrotizing fasciitis in 5 hospitals in the Netherlands between 2003 and 2017","volume":"48","author":"Stigt","year":"2022","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2024061110091920000_ref5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12879-021-06928-5","article-title":"Incidence and mortality of necrotizing fasciitis in the Netherlands: the impact of group A streptococcus","volume":"21","author":"Nawijn","year":"2021","journal-title":"BMC Infect Dis"},{"key":"2024061110091920000_ref6","doi-asserted-by":"crossref","first-page":"1535","DOI":"10.1097\/01.CCM.0000129486.35458.7D","article-title":"The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections","volume":"32","author":"Wong","year":"2004","journal-title":"Crit Care Med"},{"key":"2024061110091920000_ref7","doi-asserted-by":"crossref","first-page":"e14379","DOI":"10.1111\/iwj.14379","article-title":"Early diagnosis of necrotizing fasciitis: imaging techniques and their combined application","volume":"21","author":"Wei","year":"2024","journal-title":"Int Wound J"},{"key":"2024061110091920000_ref8","doi-asserted-by":"crossref","first-page":"e119","DOI":"10.1002\/bjs.9371","article-title":"Early diagnosis of necrotizing fasciitis","volume":"101","author":"Goh","year":"2013","journal-title":"Br J Surg"},{"key":"2024061110091920000_ref9","article-title":"Challenges in access to new therapeutic agents: marginalized patients with cancer in Pakistan and the need for new guidelines","volume":"8","author":"Aziz","year":"2022","journal-title":"JCO Glob Oncol"},{"author":"Universal health coverage (UHC)","key":"2024061110091920000_ref10"},{"key":"2024061110091920000_ref11","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph19126998","article-title":"\u201cSehat Sahulat Program\u201d: a leap into the universal health coverage in Pakistan","volume":"19","author":"Hasan","year":"2022","journal-title":"Int J Environ Res Public Health"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/6\/rjae412\/58195205\/rjae412.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/6\/rjae412\/58195205\/rjae412.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T21:38:43Z","timestamp":1718141923000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae412\/7690894"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6,3]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae412","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2024,6]]},"published":{"date-parts":[[2024,6]]},"article-number":"rjae412"}}