[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-442371-105":59,"doc-detail-442371-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","necrotizing-soft-tissue-infection-of-the-shoulder-caused-by-non-penetrating-trauma-a-case-report","Necrotizing soft tissue infection of the shoulder caused by non-penetrating trauma - a case report","","Necrotizing soft tissue infection is a rare, aggressive infection of skin and fascial tissues with rapid subcutaneous spread. This case report describes a 49-year-old man with type 2 diabetes who developed right shoulder pain after heavy lifting. MRI showed edema and partial hematoma in shoulder muscles and surrounding tissues. After local anti-infective therapy, symptoms recurred with chest wall redness, swelling, and pain, progressing rapidly and requiring multiple surgeries and multidisciplinary care to stabilize.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/necrotizing-soft-tissue-infection-of-the-shoulder-caused-by-non-penetrating-trauma-a-case-report/442371/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/necrotizing-soft-tissue-infection-of-the-shoulder-caused-by-non-penetrating-trauma-a-case-report/442371.png","ImageObject",300,407,{"name":92,"@type":93},"Bulrr","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What condition is described in this case report?","Question",{"text":113,"@type":114},"The report describes necrotizing soft tissue infection with necrotizing fasciitis of the chest wall, arising after non-penetrating trauma to the shoulder.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"Who is the patient and what were the key risk factors?",{"text":118,"@type":114},"A 49-year-old man with a history of type 2 diabetes developed right shoulder pain and later chest wall symptoms.",{"name":120,"@type":111,"acceptedAnswer":121},"Why was treatment escalated and what was done after ICU transfer?",{"text":122,"@type":114},"Symptoms progressed with redness, swelling, pain, systemic deterioration, and laboratory abnormalities, leading to urgent debridement, drainage, empiric broad-spectrum antibiotics, ICU supportive management, and multidisciplinary care.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},442371,1790766805,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":34,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},5909892115043,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Chen et al. Journal of Cardiothoracic Surgery (2026) 21:7  \n[https://doi.org/10.1186/s13019-025-03761-8](https://doi.org/10.1186/s13019-025-03761-8)  \nJournal of Cardiothoracic Surgery  \nCASE REPORT Open Access  \nNecrotizing soft tissue infection of the shoulder caused by non-penetrating traumaa case report  \nYong-qiang Chen 1, Kun Zeng2, Zong-lin Jiang 1, lin Ma 1 and Fei-fei Sun 1*  \nAbstract  \nNecrotizing soft tissue infection is a rare and severe infection of the skin and fascial tissues, characterized by extensive and rapid subcutaneous soft tissue infection. The onset of necrotizing fasciitis often occurs in areas such as the perineum, limbs, abdomen, oral cavity, and neck. In this case, a 49-year-old male patient with a history of type 2 diabetes presented with right shoulder pain for three days. An MRI of the shoulder indicated edema and hematoma formation in the supraspinatus muscle, subscapularis muscle, and surrounding soft tissues of the clavicle. After receiving anti-infective treatment in a local hospital, the patient was readmitted due to redness, swelling, and pain in the right anterior chest area seven days later. The infection gradually worsened, and after three surgeries and multidisciplinary collaborative treatment, the patient’s condition stabilized, allowing for discharge. This case of NF occurred in the chest wall due to non-penetrating trauma to the shoulder, with rapid progression and a unique location, making it rarely reported in the literature.  \nIntroduction  \nThe patient, a 49-year-old male with a history of type 2 diabetes, experienced right shoulder pain three days after lifting heavy objects. An MRI of the shoulder showed edema and partial hematoma formation in the supraspinatus muscle, subscapularis muscle, and surrounding soft tissues of the clavicle (Fig. 1). The hospital administered intravenous antibiotics (specific drugs not detailed), but four days later, the patient returned with redness, swelling, and pain in the right anterior chest area. Physical examination revealed a 20 × 30 cm red and swollen area  \n*Correspondence:  \nFei-fei Sun  \n[sunfeifei0717@sina.com](sunfeifei0717@sina.com)  \n1Department of Anorectal Surgery, Qingdao Eighth People’s Hospital, No. 57 Binchuan Road, Licang District, Qingdao City, Shandong Province, China  \n2Department of pharmacy, Qingdao Eighth People’s Hospital, No. 57 Binchuan Road, Licang District, Qingdao City, Shandong Province, China  \non the right anterior chest, with local epidermal necrosis and blackening, visible scabs, widespread redness around the mass, positive tenderness, and local fluctuation. There was limited movement of the right shoulder (Fig. 2a).  \nThe patient was admitted with a diagnosis of “soft tissue infection.” A chest CT scan showed swelling of the right chest wall soft tissues with multiple gas shadowsand exudative changes (Fig. 3); the diagnosis was necrotizing fasciitis of the chest wall. Laboratory tests (Fig. 5) showed white blood cells at 15.06 × 10^9 g/L, glucose at 29 mmol/L, procalcitonin at 1.5 ng/mL, and interleukin-6 at 170.48 pg/mL. An emergency debridement was performed, with incision and drainage of the abscess, and drainage tubes were placed. Postoperatively, the patient developed tachycardia at 132 beats per minute, and arterial blood gas analysis showed metabolic acidosis (pH 7.26, PCO2 17.60 mmHg) (Fig. 4). The patient was  \n© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this ar","cbCaidAkvCaVE1XS","https://ap.wps.com/l/cbCaidAkvCaVE1XS","pdf",1644133,"English","# Abstract\n# Introduction\n# Case presentation\n## Imaging and initial management\n## Diagnosis and laboratory findings\n## Surgery and ICU treatment\n## Culture results and follow-up","[{\"question\":\"What condition is described in this case report?\",\"answer\":\"The report describes necrotizing soft tissue infection with necrotizing fasciitis of the chest wall, arising after non-penetrating trauma to the shoulder.\"},{\"question\":\"Who is the patient and what were the key risk factors?\",\"answer\":\"A 49-year-old man with a history of type 2 diabetes developed right shoulder pain and later chest wall symptoms.\"},{\"question\":\"Why was treatment escalated and what was done after ICU transfer?\",\"answer\":\"Symptoms progressed with redness, swelling, pain, systemic deterioration, and laboratory abnormalities, leading to urgent debridement, drainage, empiric broad-spectrum antibiotics, ICU supportive management, and multidisciplinary care.\"}]","Necrotizing soft tissue infection of the shoulder caused by non-penetrating trauma - a case report | PDF",1790700050,18]