Massive necrotizing fasciitis: a life threatening entity
| Autor: | Ramon Vilallonga, María Rita Rodríguez-Luna, Manuel Armengol, Enric Caubet, Alejandro Mazarro, Xavier Guirao, José Manuel Fort |
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| Přispěvatelé: | Institut Català de la Salut, [Vilallonga R] Unitat de Cirurgia Endocrina, Metabòlica i Bariàtrica, Servei de Cirurgia General, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain. ELSAN, Clinique St-Michel, Toulon, France. [Mazarro A, Armengol M] Servei de Cirurgia General, Vall d’Hebron Hospital Universitari, Barcelona, Spain. [Rodríguez-Luna MR] Hospital de la Santa Creu I Sant Pau, Barcelona, Spain. [Caubet E, Fort JM] Unitat de Cirurgia Endocrina, Metabòlica i Bariàtrica, Servei de Cirurgia General, Vall d’Hebron Hospital Universitari, Barcelona, Spain, Vall d'Hebron Barcelona Hospital Campus |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Case Report 030501 epidemiology Skin infection 03 medical and health sciences Bacterial Infections and Mycoses::Bacterial Infections::Skin Diseases Bacterial::Fasciitis Necrotizing [DISEASES] 0302 clinical medicine infecciones bacterianas y micosis::infecciones bacterianas::enfermedades cutáneas bacterianas::fascitis necrotizante [ENFERMEDADES] Diagnòstic Medicine 030212 general & internal medicine Fasciitis Otros calificadores::/terapia [Otros calificadores] Colorectal resection Malalties bacterianes business.industry Mortality rate Oophorectomy Fascia Other subheadings::/therapy [Other subheadings] medicine.disease Surgery Pell - Malalties Plastic surgery medicine.anatomical_structure diagnóstico::diagnóstico precoz [TÉCNICAS Y EQUIPOS ANALÍTICOS DIAGNÓSTICOS Y TERAPÉUTICOS] 0305 other medical science business Exploratory surgery Diagnosis::Early Diagnosis [ANALYTICAL DIAGNOSTIC AND THERAPEUTIC TECHNIQUES AND EQUIPMENT] |
| Zdroj: | Scientia Dipòsit Digital de Documents de la UAB Universitat Autònoma de Barcelona Journal of Surgical Case Reports |
| Popis: | Altres ajuts: The authors want to thank the Dr. Vilallonga Foundation for the financial support in the preparation of this article (http://www.fundacioramonvilallonga.org). Necrotizing fasciitis (NF) is a complicated soft tissue infection frequently associated with severe sepsis if an early medical and surgical treatment is not performed. We report two postoperative cases of severe NF after oophorectomy and colorectal resection. Because of the similarity with more benign skin infections at the early steps, clinical suspicion is crucial. Surgical exploration and resection will provide both the diagnosis confirming necrotizing infection of the fascia with vessels and treatment. Also, empirical broad-spectrum antibiotics must be initiated as soon as possible. Regardless of the presence of risk factors, NF is a condition with a high mortality rate and only an expeditious and undelayed treatment may improve the patient's outcome. Surgical focus control requires wide and repeated resections, and planned reconstructive plastic surgery might be necessary. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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