{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T10:58:22Z","timestamp":1740135502040,"version":"3.37.3"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,9,26]],"date-time":"2020-09-26T00:00:00Z","timestamp":1601078400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,9,26]],"date-time":"2020-09-26T00:00:00Z","timestamp":1601078400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Anesthesiol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Chronic back pain is a multifactorial disease that occurs particularly in adults and has many negative effects on the quality of daily life. Therapeutic strategies are often multimodal and designed for a long-term therapy period. In some cases, one option is joint infiltration or intrathecal injection with local anaesthetics. An adverse effect of this intervention may be necrotic fasciitis, a disease with high mortality and few therapeutic options.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>This case shows a 53-year-old female patient who developed necrotic fasciitis after infiltrations of the sacroiliac joint and after epidural-sacral and intrathecal injections.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Thanks to early and aggressive surgical intervention, antibiotic treatment and hyperbaric oxygenation, she survived this serious complication and was able to return to life.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s12871-020-01161-0","type":"journal-article","created":{"date-parts":[[2020,9,26]],"date-time":"2020-09-26T09:02:53Z","timestamp":1601110973000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Necrotizing fasciitis caused by the treatment of chronic non-specific back pain"],"prefix":"10.1186","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4825-327X","authenticated-orcid":false,"given":"Lilit","family":"Floether","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Bucher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralf","family":"Benndorf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna-Maria","family":"Burgdorff","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,9,26]]},"reference":[{"key":"1161_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jpain.2018.06.005","volume":"20","author":"S Mathieson","year":"2019","unstructured":"Mathieson S, Kasch R, Maher CG, Pinto RZ, McLachlan AJ, Koes BW, et al. Combination drug therapy for the Management of low Back Pain and Sciatica: systematic review and meta-analysis. J Pain. 2019;20:1\u201315.","journal-title":"J Pain"},{"key":"1161_CR2","doi-asserted-by":"publisher","first-page":"95","DOI":"10.2147\/JPR.S171729","volume":"12","author":"T Paolucci","year":"2019","unstructured":"Paolucci T, Attanasi C, Cecchini W, Marazzi A, Capobianco SV, Santilli V. Chronic low back pain and postural rehabilitation exercise: a literature review. J Pain Res. 2019;12:95\u2013107.","journal-title":"J Pain Res"},{"key":"1161_CR3","unstructured":"Bundes\u00e4rztekammer, Kassen\u00e4rztliche Bundesvereinigung, Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften: Nationale VersorgungsLeitlinie Nicht-spezifischer Kreuzschmerz \u2013 Langfassung. 2. Auflage. Version 1. Belin; 2017."},{"issue":"Suppl 2","key":"1161_CR4","doi-asserted-by":"publisher","first-page":"S192","DOI":"10.1007\/s00586-006-1072-1","volume":"15","author":"O Airaksinen","year":"2006","unstructured":"Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006;15(Suppl 2):S192\u2013300.","journal-title":"Eur Spine J"},{"key":"1161_CR5","first-page":"312","volume":"71","author":"J Friederichs","year":"2015","unstructured":"Friederichs J, Torka S, Militz M, B\u00fchren V, Hungerer S. Necrotizing soft tissue infections after injection therapy: higher mortality and worse outcome compared to other entry mechanisms. J Inf Secur. 2015;71:312\u20136.","journal-title":"J Inf Secur"},{"key":"1161_CR6","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1517\/14712598.6.2.155","volume":"6","author":"MH Young","year":"2006","unstructured":"Young MH, Engleberg NC, Mulla ZD, Aronoff DM. Therapies for necrotising fasciitis. Expert Opin Biol Ther. 2006;6:155\u201365.","journal-title":"Expert Opin Biol Ther"},{"key":"1161_CR7","first-page":"437","volume":"32","author":"SJ Escobar","year":"2005","unstructured":"Escobar SJ, Slade JB Jr, Hunt TK, Cianci P. Adjuvant hyperbaric oxygen therapy (HBO2) for treatment of necrotizing fasciitis reduces mortality and amputation rate. Undersea Hyperb Med. 2005;32:437\u201343.","journal-title":"Undersea Hyperb Med"},{"key":"1161_CR8","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1007\/s00132-016-3248-7","volume":"45","author":"J Bredow","year":"2016","unstructured":"Bredow J, Bloess K, Oppermann J, Boese CK, L\u00f6hrer L, Eysel P. Konservative Therapie beim unspezifischen, chronischen Kreuzschmerz: Evidenz der Wirksamkeit - eine systematische Literaturanalyse. Orthopade. 2016;45:573\u20138.","journal-title":"Orthopade"},{"key":"1161_CR9","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1007\/s00586-018-5801-z","volume":"28","author":"A Kanai","year":"2019","unstructured":"Kanai A, Okamoto T, Hayashi N, Shimao J, Nagahara Y, Fujii K. Short-term results of intrathecal injection of low-dose bupivacaine in outpatients with chronic low back and lower extremity pain. Eur Spine J. 2019;28:250\u20138.","journal-title":"Eur Spine J"},{"key":"1161_CR10","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1586\/14787210.3.2.279","volume":"3","author":"MH Young","year":"2005","unstructured":"Young MH, Aronoff DM, Engleberg NC. Necrotizing fasciitis: pathogenesis and treatment. Expert Rev Anti-Infect Ther. 2005;3:279\u201394.","journal-title":"Expert Rev Anti-Infect Ther"},{"key":"1161_CR11","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1007\/s00068-017-0792-8","volume":"44","author":"M Leiblein","year":"2018","unstructured":"Leiblein M, Marzi I, Sander AL, Barker JH, Ebert F, Frank J. Necrotizing fasciitis: treatment concepts and clinical results. Eur J Trauma Emerg Surg. 2018;44:279\u201390.","journal-title":"Eur J Trauma Emerg Surg"}],"container-title":["BMC Anesthesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12871-020-01161-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12871-020-01161-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12871-020-01161-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,25]],"date-time":"2021-09-25T23:06:23Z","timestamp":1632611183000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcanesthesiol.biomedcentral.com\/articles\/10.1186\/s12871-020-01161-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,26]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1161"],"URL":"https:\/\/doi.org\/10.1186\/s12871-020-01161-0","relation":{},"ISSN":["1471-2253"],"issn-type":[{"type":"electronic","value":"1471-2253"}],"subject":[],"published":{"date-parts":[[2020,9,26]]},"assertion":[{"value":"3 June 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 September 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 September 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent to publish the case was obtained from the patient. Institutional consent is available.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"245"}}