Evidence map›Paper›PMID 32939391›Full record

ArticleTrauma case reports2020

Subcutaneous emphysema or necrotizing fasciitis after insect bite?

Nazım Karahan, Ahmet Oztermeli

Erratum issuedOpen access · goldAbstract readCase Reports
In one paragraph

Article in Trauma case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Benign subcutaneous emphysema: a rare and challenging entityCase reports in plastic surgery & hand surgery · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Nazım KarahanCorlu State Hospital, Orthopaedic and Traumatology, Bülent Ecevit Blv. No: 33, 59850 Çorlu, Tekirdağ, Turkey.
Ahmet OztermeliGebze State Hospital, Osman Yılmaz, 1, İstanbul st. No: 127, 41400 Gebze, Kocaeli, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe rapid form of subcutaneous emphysema after an insect bite is hard to distinguish from necrotizing fasciitis. CASE PRESENTATION: Here we report a case of benign subcutaneous emphysema after an insect bite on the hand of an 18-year-old Caucasian man. The puncture area in the first web space of his hand was erythematous and swollen. After 4 h, he began to hear crackling sounds in the hand. Although conservative management was provided, he experienced gradually increasing pain and rapid progression in swelling and crepitation. The symptoms regressed after fasciotomy.

conclusionThis is the fourth reported case of benign subcutaneous emphysema after an insect bite in the literature. Although benign emphysema has a good prognosis after treatment, it is similar to necrotizing fasciitis. Proper diagnosis can only be established with histological and microbiological investigations, but in cases where early histological and microbiological investigations cannot be performed, biochemistry and radiological test should be used.

Indexed as

Insect biteLNIRECNecrotizing fasciitisSubcutaneous emphysema

Identifiers

PMID32939391
PMCPMC7476870
OpenAlexW3049019081

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.