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Reminder of important clinical lesson
Drug induced neutropaenia – a trigger for necrotising fasciitis?
  1. Rhiannon Foulkes,
  2. David Hoare,
  3. Krishnamurthy Somasekar
  1. General Surgery Department, Nevill Hall Hospital, Abergavenny, UK
  1. Correspondence to Miss Rhiannon Foulkes, FoulkesRE{at}doctors.org.uk

Summary

The authors present a case of necrotising fasciitis of the peristomal area, in a patient who had undergone a previous ileostomy for ulcerative colitis. This was associated with neutropaenia, secondary to carbimazole, which had been commenced a few weeks previously for thyrotoxicosis. The authors therefore, stress the importance of monitoring patients closely for possible side effects and complications, while they are on immunosuppressive medication.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.