Evidence map›Paper›PMID 40747171›Full record

ArticleCureus2025

From Skin Deep to Life-Threatening: A Case of Necrotizing Fasciitis Masquerading as Ecchymosis.

Abigail Alorda, Sadman Chowdhury, Stephanie Cohen, Jovans Lorquet, Shayne Gue

Abstract readCase Reports
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Abigail AlordaEmergency Medicine, HCA Florida Osceola Hospital, Kissimmee, USA.
Sadman ChowdhuryEmergency Medicine, University of Central Florida College of Medicine, Orlando, USA.
Stephanie CohenEmergency Medicine, University of Central Florida College of Medicine, Orlando, USA.
Jovans LorquetEmergency Medicine, HCA Florida Osceola Hospital, Kissimmee, USA.
Shayne GueMedical Education, University of Central Florida College of Medicine, Orlando, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Necrotizing fasciitis (NF) is a rare but life-threatening infection characterized by rapid and extensive tissue necrosis. Early identification is often difficult, particularly when physical exam findings are subtle or atypical. We present the case of a man in his forties with poorly controlled type 2 diabetes mellitus who arrived at the emergency department after noticing discoloration and swelling of his right great toe. The patient had minimal pain but was noted to be hypotensive and tachycardic on arrival. Laboratory workup revealed hyperglycemia, hyponatremia, and elevated lactic acid. Imaging was negative for fracture or subcutaneous air. Due to the rapid progression of symptoms and abnormal vital signs, general surgery was consulted to evaluate for NF. The patient was admitted and subsequently developed a temperature of 106°F, requiring escalation of care. He underwent surgical debridement and amputation of the right hallux. Wound and blood cultures grew

Indexed as

diabetic woundlrinec scorenecrotizing fasciitisnecrotizing skin and soft tissue infectionssepsisstaphylococcus-associated glomerulonephritis

Identifiers

PMID40747171
PMCPMC12313087

What OpenQuestion holds

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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.