本案例研究回顾了一名48岁的西班牙裔男性在建筑业工作,他表现出左大腿内侧上疼痛,发红,在水泥加工过程中暴露于危险化学品后膨胀。最初诊断为蜂窝织炎和邻近肌炎,患者符合脓毒症标准,并接受经验性抗生素治疗.然而,阴性培养和不断发展的伤口外观将诊断转向大疱性疾病和化学损伤。职业史和体格检查结果指出了化学接触继发的伤害,在防护装备不足的水泥工人中很常见。水泥烧伤,往往阴险,由于进展缓慢而被低估,主要影响下肢。这些烧伤涉及化学物质,机械,和超敏反应机制,可以模拟成像感染。这个案例突出了及时识别和管理水泥烧伤的重要性,强调保护措施,去污,和烧伤专家可能的早期干预。
This
case study reviews a 48-year-old Hispanic male working in construction who presented with left upper medial thigh pain, redness, and swelling after exposure to hazardous chemicals during cement processing. Initially diagnosed with cellulitis and adjacent myositis, the patient met sepsis criteria and received empiric antibiotics. However, negative cultures and an evolving wound appearance shifted the diagnosis towards bullous diseases and chemical injury. Occupational history and physical exam findings pointed towards injury secondary to chemical exposure, common in cement workers with inadequate protective gear. Cement burns, often insidious, are underreported due to their slow progression, mainly affecting the lower extremities. These burns involve chemical, mechanical, and hypersensitivity mechanisms that can mimic infection on imaging. This
case highlights the importance of recognizing and managing cement burns promptly, emphasizing protective measures, decontamination, and potential early intervention by burn specialists.