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{
    "pk": 17202,
    "title": "Necrotizing Fasciitis of the Paraspinous Muscles",
    "subtitle": null,
    "abstract": "Necrotizing fasciitis (NF) is a rare and lethal soft tissue infection that requires urgent surgical intervention. It is most often found in the extremities occurring with precipitating trauma or in immunocompromised states. Signs and symptoms are often vague or missing making early diagnosis very difficult. Our patient presented with flank pain and altered mental status but no known precipitating factors. Computed Tomography showed gas within and around the right paraspinous muscle suspicious for NF. Given NF’s high lethality, early suspicion by emergency physicians of NF in patients with soft tissue infections or with systemic findings of unknown etiology is necessary. [West J Emerg Med. 2010; 11(1):68-70.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "necrotizing fasciitis"
        },
        {
            "word": "abscess"
        },
        {
            "word": "flank"
        },
        {
            "word": "trunk"
        },
        {
            "word": "Emergency Medicine"
        }
    ],
    "section": "Article",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/37t769tm",
    "frozenauthors": [
        {
            "first_name": "Denise",
            "middle_name": "",
            "last_name": "Law",
            "name_suffix": "",
            "institution": "University of California, Davis School of Medicine",
            "department": "None"
        },
        {
            "first_name": "Kapil",
            "middle_name": "R.",
            "last_name": "Dhingra",
            "name_suffix": "",
            "institution": "University of California, Davis Medical Center, Department of Emergency Medicine",
            "department": "None"
        }
    ],
    "date_submitted": "2008-08-27T07:00:00Z",
    "date_accepted": "2008-08-27T07:00:00Z",
    "date_published": "2010-04-02T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/17202/galley/8695/download/"
        }
    ]
}