CTICasesNecrotizing Fasciitis / Osteomyelitis from Heroin Skin Popping
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Imaging findings
Chest radiographs revealed marked asymmetry of the chest wall, with a large, air-filled soft tissue defect in the right breast and chest wall, extending down to the ribs. Evidence of rib destruction was also observed. Post-operative imaging showed the results of surgical reduction plasty to repair the extensive defect.
Key takeaways
Severe necrotizing processes, such as necrotizing fasciitis and osteomyelitis, can be devastating sequelae of intravenous drug use (heroin skin popping). These can lead to extensive soft tissue and bone destruction in the chest wall, creating significant defects requiring complex surgical reconstruction.
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