Skin and Soft Tissue Infection (SSTI), foot, CT
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CB1123-Skin and Soft Tissue Infection (SSTI), foot, CT
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CB1123-Skin and Soft Tissue Infection (SSTI), foot, CT
Case ReportHistory
Exam
Findings
Findings
Diffuse soft tissue edema within the hypodermis about the ankle and foot. Soft tissue defect along the dorsum of the midfoot. Multiple additional soft tissue defects are present along the plantar aspect of the midfoot and forefoot.
Locules of gas are noted within the soft tissues, centered about the distal second metatarsal.
No focal areas of hypoattenuation to suggest suppuration or drainable fluid collection.
No aggressive appearing periosteal reaction or osseous destruction to suggest osteomyelitis.
Chronic avulsive change adjacent to the medial malleolus. Posterior and plantar calcaneal enthesophytes. Mild tibiotalar osteoarthritis.
Atherosclerosis.
Impression
Soft tissue gas about the second metatarsal which could be related to adjacent skin defects versus developing necrotizing soft tissue infection.
No CT evidence for drainable fluid collection or osteomyelitis.
