{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T02:08:57Z","timestamp":1790215737334,"version":"4.1.0"},"reference-count":0,"publisher":"National Library of Serbia","issue":"8","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VSP","VOJNOSANIT PREGL","VOJNOSANITETSKI PREG"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>Introduction. Since delay in recognition and effective treatment of\n   necrotizing fasciitis (NF) caused by invasive group A streptococcus\n   increases the mortality and disability, the early diagnosis and management\n   of this disease are essential for a better outcome. We presented a patient\n   with a severe form of streptococcal NF of the left upper limb in whom\n   amputation was performed as a life saving procedure. Case report. A\n   65-year-old man, previously healthy, suffered an injury to his left hand by\n   sting on a fish bone. Two days after that the patient got fever, redness,\n   swelling and pain in his left hand. Clinical examination of the patient\n   after admission indicated NF that spread quickly to the entire left upper\n   limb, left armpit, and the left side of the chest and abdomen. Despite the\n   use of aggressive antibiotic and surgical therapy severe destruction of the\n   skin and subcutaneous tissues developed with the development of gangrene of\n   the left upper limb. In this situation, the team of specialists decided that\n   the patient must be operated on submited to amputation of the left arm, at\n   the shoulder. After amputation and aggressive debridement of soft tissue on\n   the left side of the trunk, the patient completely recovered. ?-hemolytic\n   streptococcus group A was isolated from the skin and tissue obtained during\n   the surgery. Conclusion. In the most severe forms of streptococcal NF of the\n   extremities, adequate multidisciplinary treatment, including limb\n   amputation, can save the life of a patient.<\/jats:p>","DOI":"10.2298\/vsp140724069m","type":"journal-article","created":{"date-parts":[[2014,10,29]],"date-time":"2014-10-29T09:06:22Z","timestamp":1414573582000},"page":"745-749","source":"Crossref","is-referenced-by-count":4,"title":["Severe form of streptococcal necrotizing fasciitis of the upper limb - diagnostic and therapeutic challenge: A case report"],"prefix":"10.2298","volume":"72","author":[{"given":"Dragan","family":"Mikic","sequence":"first","affiliation":[{"name":"Military Medical Academy, Clinic for Infectious and Tropical Diseases, Belgrade + University of Defence, Faculty of Medicine Military Medical Academy, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatjana","family":"Takic-Radovanovic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Clinic for Infectious and Tropical Diseases, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milan","family":"Lukovic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Clinic for Orthopedic Surgery and Traumatology, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milomir","family":"Kosutic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Clinic for Orthopedic Surgery and Traumatology, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srdjan","family":"Starcevic","sequence":"additional","affiliation":[{"name":"University of Defence, Faculty of Medicine Military Medical Academy, Belgrade + \u2021Military Medical Academy, Clinic for Orthopedic Surgery and Traumatology, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zoran","family":"Bjelanovic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Clinic for Vascular Surgery, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dragan","family":"Djordjevic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Clinic for Anesthesiology and Intensive Therapy, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darko","family":"Nozic","sequence":"additional","affiliation":[{"name":"Military Medical Academy, Clinic for Infectious and Tropical Diseases, Belgrade + University of Defence, Faculty of Medicine Military Medical Academy, Belgrade"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1078","container-title":["Vojnosanitetski pregled","Military Medical and Pharmaceutical Journal of Serbia"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T11:13:45Z","timestamp":1685358825000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0042-84501400069M"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":0,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.2298\/vsp140724069m","relation":{},"ISSN":["0042-8450","2406-0720"],"issn-type":[{"value":"0042-8450","type":"print"},{"value":"2406-0720","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}