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We highlight the diagnostic challenges with this case, the utility of computed tomography in diagnosing soft tissue infections, and the importance of source control in septic patients.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf287","type":"journal-article","created":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T17:46:24Z","timestamp":1746639984000},"source":"Crossref","is-referenced-by-count":0,"title":["Biceps breakdown: a case of spontaneous necrotizing myositis"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0051-6890","authenticated-orcid":false,"given":"Jai","family":"Pantling","sequence":"first","affiliation":[{"name":"The Old Schools, University of Cambridge , Trinity Lane, Cambridge CB2 1TN ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodore","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Cambridge University Hospitals , Hills Road, Cambridge CB2 0QQ ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fionnuala","family":"O\u2019Leary","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Cambridge University Hospitals , Hills Road, Cambridge CB2 0QQ ,","place":["United Kingdom"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,5,7]]},"reference":[{"key":"2025050800211744700_ref1","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1016\/j.bjps.2021.08.046","article-title":"Necrotising myositis - learnings for a plastic surgeon","volume":"75","author":"Khanna","year":"2022","journal-title":"J Plast Reconstr Aesthetic Surg JPRAS"},{"key":"2025050800211744700_ref2","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1186\/s13017-022-00406-2","article-title":"WSES\/GAIS\/WSIS\/SIS-E\/AAST global clinical pathways for patients with skin and soft tissue infections","volume":"17","author":"Sartelli","year":"2022","journal-title":"World J Emerg Surg"},{"key":"2025050800211744700_ref3","doi-asserted-by":"publisher","first-page":"2210491720961546","DOI":"10.1177\/2210491720961546","article-title":"Validation of finger test for necrotising soft tissue infection","author":"Lau","year":"2020","journal-title":"J Orthop Trauma Rehabil"},{"key":"2025050800211744700_ref4","doi-asserted-by":"publisher","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":"2025050800211744700_ref5","doi-asserted-by":"publisher","first-page":"58","DOI":"10.1097\/SLA.0000000000002774","article-title":"Necrotizing soft tissue infection: diagnostic accuracy of physical examination, imaging, and LRINEC score: a systematic review and meta-analysis","volume":"269","author":"Fernando","year":"2019","journal-title":"Ann Surg"},{"key":"2025050800211744700_ref6","doi-asserted-by":"publisher","first-page":"e239929","DOI":"10.1136\/bcr-2020-239929","article-title":"Group a streptococcus necrotising myositis of the limbs secondary to cavitating pneumonia","volume":"14","author":"Rahi","year":"2021","journal-title":"BMJ Case Rep"},{"key":"2025050800211744700_ref7","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1080\/17843286.2019.1637388","article-title":"Necrotizing myositis case report and brief literature study","volume":"75","author":"Basso","year":"2020","journal-title":"Acta Clin Belg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/5\/rjaf287\/63103634\/rjaf287.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/5\/rjaf287\/63103634\/rjaf287.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T04:21:22Z","timestamp":1746678082000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf287\/8126586"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,29]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,4,29]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf287","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,5]]},"published":{"date-parts":[[2025,4,29]]},"article-number":"rjaf287"}}