{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:04:01Z","timestamp":1762506241743,"version":"3.37.3"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Medicine"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p><jats:italic>Introduction.<\/jats:italic>Osteoarthritis, a degenerative joint disease, is a key cause of disability around the world and an ever-growing public health concern. Intra-articular hyaluronic acid viscosupplementation is used as a conservative option for osteoarthritis knee pain relief (McArthur et al., 2012; Hootman and Helmick, 2006; Huang el al., 2011). In general, the literature has shown an excellent safety profile for this treatment modality (McArthur et al., 2012; Clegg et al., 2013; Hammesfahr et al., 2003; Neustadt et al., 2005; Cohen et al., 2008; Neustadt, 2003; J\u00fcni et al., 2007; Peterson and Hodler, 2011).<jats:italic>Case Presentation<\/jats:italic>. In this report, we describe a case of a woman who had received multiple sodium hyaluronate injections and developed severe necrotizing fasciitis near the injection site.<jats:italic>Conclusion.<\/jats:italic>We recommend that clear guidelines for clean technique be put in place for use with sodium hyaluronate injections and consideration of full sterile technique in immunosuppressed patients.<\/jats:p>","DOI":"10.1155\/2013\/531794","type":"journal-article","created":{"date-parts":[[2013,12,22]],"date-time":"2013-12-22T21:01:03Z","timestamp":1387746063000},"page":"1-4","source":"Crossref","is-referenced-by-count":8,"title":["A Patient with Fatal Necrotizing Fasciitis following the Use of Intra-Articular Sodium Hyaluronate Injections: A Case Report"],"prefix":"10.1155","volume":"2013","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0696-5394","authenticated-orcid":true,"given":"Shanti","family":"Virupannavar","sequence":"first","affiliation":[{"name":"Internal Medicine, Michigan State University, 138 Service Road, A225 Clinical Center, East Lansing, MI 48824, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carla","family":"Guggenheim","sequence":"additional","affiliation":[{"name":"Internal Medicine and Rheumatology, Michigan State University, 138 Service Road, A225 Clinical Center, East Lansing, MI 48824, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S27783"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1002\/art.21562"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-12-221"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1007\/s00590-012-0940-0"},{"issue":"6","key":"6","first-page":"277","volume":"32","year":"2003","journal-title":"The American Journal of Orthopedics"},{"issue":"10","key":"7","first-page":"1928","volume":"32","year":"2005","journal-title":"The Journal of 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