European Journal of Case Reports in Internal Medicine


The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM). The journal wants to promote the practice of internal medicine in Europe. Its aim is to provide a forum to internal medicine doctors.
EJCRIM welcomes papers describing unusual or complex cases and case series that an internist may encounter in everyday practice. Case series are also welcomed as long as they demonstrate the appropiateness of a therapeutical approach or unusual manifestation of a disease.
The journal would also consider brief reasoned reports of issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to scientific meetings of European societies of Internal Medicine.

EJCRIM utilizes the CNR-SOLAR system to permanently archive the journal for purposes of preservation, reservation and research and it is also indexed on Google Scholar and DOAJ. We encourage the use of Kudos to maximize the article's visibility. 

EJCRIM is peer-reviewed with single-blind review and freely accessible to all.

Rachael Hilton, Jefferson Berryman, Karina Handoyo
Simon Bac, Dirk Jan Bac
Francesca Graziani, Aureliano Ruggio, Antonio Iaconelli, Elena Verrecchia, Amelia Morrone, Daniela Antuzzi, Filippo Crea, Raffaele Manna
Sara Castelo Branco, Ana Teresa Ferreira, Sofia Saraiva, Mário Jorge Silva, Teresa Garcia
Sara Ferreira, Margarida Freitas-Silva
Takahiro Miyakoshi, Mamoru Satoh, Fumio Nomura, Takao Hashimoto, Toru Aizawa

Use of Infrared Thermography in Diagnosing Necrotizing Fasciitis in the Emergency Department: A Case Study

Mikkel Brabrand, Jan Dahlin, Marianne Fløjstrup, Stine Thorhauge Zwisler, Jens Michelsen, Louise Gramstrup Nielsen, Jens Ahm Sørensen
Published: 18/10/2017


Objective: Necrotizing fasciitis is a difficult diagnosis with a very high mortality. However, thermal imaging has the potential to identify increasing skin temperature and rapid progression.
Materials and methods: We used repeat photographs taken with a thermal camera to visualize changes in skin temperature over time.
Results: An unstable male patient presented at the emergency department. Thermal imaging showed increased skin temperature of his left foot with a rapid increase and progression in extent within 1 hour. Necrotizing fasciitis was suspected and later confirmed.
Conclusions: We believe thermal imaging could be an important adjunct for the diagnosis of suspected necrotizing fasciitis.