{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T18:24:40Z","timestamp":1790619880297,"version":"4.1.0"},"reference-count":24,"publisher":"American Animal Hospital Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of the American Animal Hospital Association"],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:p>\n                    A 5-month-old, intact female Great Dane was presented for an acute onset of rapidly progressive lameness, severe pain, and diffuse swelling of the right hind limb. Ultrasound evaluation revealed echogenic fluid pockets extending along fascial planes of the right hind limb, from the proximal femur to the hock. Necrotic soft tissues were debrided, and closed-suction drains were placed. No foreign material was identified at surgery. Fluid culture identified a beta-hemolytic\n                    <jats:italic>Streptococcus<\/jats:italic>\n                    sp., and affected fascial histopathology was consistent with necrotizing fasciitis. Postoperatively, the puppy was managed with intravenous broad-spectrum antibiotics, local infusions of amikacin, and daily physical rehabilitation. Oral pentoxifylline was administered to treat bronchopneumonia and streptococcal toxic shock syndrome that developed secondary to necrotizing fasciitis. To our knowledge, this is the first report of a successfully managed case of beta-hemolytic, streptococcal, necrotizing fasciitis successfully managed after a single surgical debridement in combination with systemic broad-spectrum antibiotics, local amikacin infusion, active closed-suction drainage, daily cytology, massage, and passive range-of-motion exercises to maintain limb function.\n                  <\/jats:p>","DOI":"10.5326\/0460433","type":"journal-article","created":{"date-parts":[[2014,9,15]],"date-time":"2014-09-15T12:21:20Z","timestamp":1410783680000},"page":"433-438","source":"Crossref","is-referenced-by-count":11,"title":["Successful Treatment of Necrotizing Fasciitis in the Hind Limb of a Great Dane"],"prefix":"10.5326","volume":"46","author":[{"given":"Amie B.","family":"Csiszer","sequence":"first","affiliation":[{"name":"Oregon Veterinary Referral Associates (Csiszer, Daly), 444 B Street, Springfield, Oregon 97477"},{"name":"Small Animal Surgery Service (Towle), Veterinary Medical Teaching Hospital, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas 66506"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather A.","family":"Towle","sequence":"additional","affiliation":[{"name":"Oregon Veterinary Referral Associates (Csiszer, Daly), 444 B Street, Springfield, Oregon 97477"},{"name":"Small Animal Surgery Service (Towle), Veterinary Medical Teaching Hospital, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas 66506"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Curt M.","family":"Daly","sequence":"additional","affiliation":[{"name":"Oregon Veterinary Referral Associates (Csiszer, Daly), 444 B Street, Springfield, Oregon 97477"},{"name":"Small Animal Surgery Service (Towle), Veterinary Medical Teaching Hospital, College of Veterinary Medicine, Kansas State University, Manhattan, Kansas 66506"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3280","reference":[{"key":"R1","series-title":"J Vet Emerg Crit Care","first-page":"299","volume":"11","year":"2001","unstructured":"Jenkins CM, Winkler K, Rudloff E, et al. 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