Evidence map›Paper›PMID 41280728›Full record

ArticleJournal of surgical case reports2025

Spontaneous gaseous necrotizing myofasciitis in a patient with B-cell lymphoma status-post induction chemotherapy.

Margaret Shields, Mason H Remondelli, Amy M Wang, Natalia K Barzanji, Jonathan Wang, Emad S Madha, Matthew J Bradley, Patrick F Walker, John C Graybill

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of surgical case reports, 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

9 authors.

Margaret ShieldsDepartment of Surgery, The Walter Reed National Military Medical Center, 901 Rockville Pike, Bethesda, MD 20889, United States.ORCID https://orcid.org/0009-0006-1234-4080
Mason H RemondelliDepartment of Surgery, The Walter Reed National Military Medical Center, 901 Rockville Pike, Bethesda, MD 20889, United States.
Amy M WangDepartment of Surgery, The Walter Reed National Military Medical Center, 901 Rockville Pike, Bethesda, MD 20889, United States.
Natalia K BarzanjiDepartment of Surgery, The Walter Reed National Military Medical Center, 901 Rockville Pike, Bethesda, MD 20889, United States.
Jonathan WangDepartment of Surgery, The Walter Reed National Military Medical Center, 901 Rockville Pike, Bethesda, MD 20889, United States.ORCID https://orcid.org/0000-0002-7670-0535
Emad S MadhaDepartment of Surgery, The Walter Reed National Military Medical Center, 901 Rockville Pike, Bethesda, MD 20889, United States.
Matthew J BradleyDepartment of Surgery, The Walter Reed National Military Medical Center, 901 Rockville Pike, Bethesda, MD 20889, United States.
Patrick F WalkerDepartment of Surgery, The Walter Reed National Military Medical Center, 901 Rockville Pike, Bethesda, MD 20889, United States.
John C GraybillDepartment of Surgery, The Walter Reed National Military Medical Center, 901 Rockville Pike, Bethesda, MD 20889, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 50-year-old female with diffuse large B-cell lymphoma and recent completion of chemotherapy with Pola-R-CHP presented to the emergency department with right lower extremity weakness and pain, hypotension, tachycardia, and altered mental status, along with tense, edematous, and pulseless compartments of the right lower extremity. The patient was taken emergently to the operating room with trauma and orthopedic surgery and found to have a severe necrotizing infection involving the muscles of the right lower extremity, ascending to the retroperitoneum, involving the right iliacus muscle, right iliopsoas, and ascending colon. At that time, she underwent a right transfemoral amputation, a right hemicolectomy, and was left in discontinuity to stabilize her in the ICU until returning the next day. NSTIs (necrotizing soft tissue infection) are rare but rapidly progressive, life-threatening infections. This case report highlights the importance of early and aggressive surgical intervention to improve the survival of patients with NSTIs.

Indexed as

immunosuppressionMyonecrosisnecrotizing fasciitisnecrotizing soft tissue infectionPolymicrobial infectionsepsisshock

Identifiers

PMID41280728
PMCPMC12632907

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Registered trials

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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.