The Successful Use of Negative-Pressure Wound Therapy in Two Cases of Canine Necrotizing Fasciitis
| Autor: | Arnold S. Lesser, Patrick James Maguire, Joseph M. Azagrar, Allan Carb |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Erythema medicine.medical_treatment Tachypnea Dogs Edema Negative-pressure wound therapy medicine Animals Dog Diseases Fasciitis Necrotizing Small Animals Fasciitis Debridement business.industry Honey medicine.disease Anti-Bacterial Agents Surgery Amputation Female Histopathology medicine.symptom business Negative-Pressure Wound Therapy |
| Zdroj: | Journal of the American Animal Hospital Association. 51:43-48 |
| ISSN: | 1547-3317 0587-2871 |
| DOI: | 10.5326/jaaha-ms-6033 |
| Popis: | A 5 mo old female Akita and a 1 yr, 5 mo old male German shorthaired pointer were both evaluated for soft-tissue lesions characterized by rapidly expanding edema, erythema, and pain. Ultrasound was utilized to locate and sample fluid accumulations, and β-hemolytic Streptococcus was isolated from the wounds. Development of systemic symptoms including fever, tachycardia, and tachypnea as well as a lack of response to medical management prompted surgical intervention in both cases. During surgical exploration and debridement, disruption of intermuscular tissue planes was appreciated and necrotizing fasciitis (NF) was suspected. Negative-pressure wound therapy systems utilizing 120 mm Hg of continual negative pressure were applied to wounds for 5 and 4 days for the Akita and German shorthaired pointer, respectively. Resolution of infection was achieved and although the lesions were associated with limbs, amputation was avoided. In both cases, the results of histopathology were consistent with NF. NF is recognized as a rapidly progressive infection associated with high rates of morbidity and mortality. Timely use of negative-pressure wound therapy appears to be a viable management tool to accompany surgical debridement, appropriate antibiotics, and analgesics. |
| Databáze: | OpenAIRE |
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