A case report of successful treatment of necrotizing fasciitis using negative pressure wound therapy
| Autor: | Fabiana Martins de Paula, Edivania Anacleto Pinheiro, Maria Tereza Ferreira Duenhas Monreal, Vanessa Marcon de Oliveira, Cristiane Munaretto Ferreira, Vanessa Terezinha Gubert de Matos, Marisa Dias Rolan |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
treatment of wounds with negative pressure necrotizing fasciitis medicine.medical_treatment Hospital unit MEDLINE wounds healing 03 medical and health sciences 0302 clinical medicine Negative-pressure wound therapy Female patient medicine 030212 general & internal medicine Clinical Case Report Buttocks Fasciitis injury closure techniques Debridement injuries and lesions business.industry High mortality General Medicine medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis business Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 |
| Popis: | Rationale: Necrotizing fasciitis is a destructive tissue infection with rapid progression and high mortality. Thus, it is necessary that high-performance dressings be introduced as possibilities of treatment. Patient concerns: Female patient, 44 years of age, admitted to hospital unit complaining of lesion in the gluteal region and drainage of purulent secretion in large quantity followed by necrosis. Diagnoses: The diagnosis of necrotizing fasciitis was carried out with the computerized tomography examination result and its association with the patient's clinical condition. Interventions: Initially, successive debridements were carried out in lower limbs as well as primary dressing with enzymatic debriding action until indication of negative pressure wound therapy, for the period of 2 weeks in the right lower limb and for 5 weeks in the left lower limb, with changes every 72 h. Dressing with saline gauze was used at the end of this therapy until hospital discharge. Outcomes: After the use of negative pressure wound therapy, we observed the presence of granulation tissue, superficialization and reduction of lesion extension. The patient presented good tolerance and absence of complications. Lessons: Negative pressure wound therapy constituted a good option for the treatment of necrotizing fasciitis, despite the scarcity of protocols published on the subject. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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