Case Report

Right Arm Pyomyositis and Necrotizing Fasciitis Complicated With Subcutaneous Emphysema and Pneumomediastinum in a Patient With Diabetes Mellitus and Iatrogenic Cushing Syndrome

We report a case of subcutaneous emphysema and pneumomediastinum secondary to pyomyositis and necrotizing fasciitis over the right arm of a woman with underlying diabetes mellitus and iatrogenic Cushing syndrome. Gas produced by the culprit pathogen extensively dissected the subcutaneous fat and fascia of the patient’s right arm and distantly…