TY - JOUR T1 - Künt Travmaya İkincil Gecikmiş Bir Nekrotizan Fasiit Olgusu TT - Künt Travmaya İkincil Gecikmiș Bir Nekrotizan Fasiit Olgusu* AU - Çetinkaya, Ömer Arda AU - Çelik, Süleyman Utku AU - Uncu, Mehmet Hakan PY - 2015 DA - December JF - Ankara Üniversitesi Tıp Fakültesi Mecmuası PB - Ankara University WT - DergiPark SN - 0365-8104 SP - 137 EP - 141 VL - 68 IS - 3 LA - en AB - Necrotizing fasciitis is a rare, rapidly progressive, and potentially fatal soft tissue infection ofthe skin, subcutaneous tissue, fascia, or muscles. Only early clinical suspicion, appropriate antimicrobials,rapid and aggressive surgical debridement can reduce mortality and morbidity.Even with effective treatment and all care interventions, necrotizing fasciitis is a disease that isdifficult to manage. In this report, we present a necrotizing fasciitis case of a 48-year-old malewith blunt gluteal trauma after falling on stairs. KW - Necrutizing KW - Fasciitis KW - Blunt Travma N2 - Nekrotizan fasiit (NF) deri, deri altı doku, fasya ve kas tabakasını tutan, hızla invazyon ve yayılımgöstererek yașamı tehdit eden nadir bir yumușak doku enfeksiyonudur. Tedavi, klinik olarakerken șüphe ile uygun antibiyoterapi desteğinin sağlanması ve cerrahi müdahalenin hızlı veagresif olarak yapılmasıyla mümkün olabilmektedir. Ancak bilinmelidir ki, NF tüm müdahalelere,etkili tedavi protokolleri ve hasta bakımına rağmen yönetimi zor olan bir hastalıktır. Olguda,yüksekten düșme ile gluteal bölgeden künt travmaya maruz kalmıș ve kliniğimize bașvuranakadar bir hafta süre ile perianal ve sağ alt ekstremite ağrısı için sadece semptomatik tedaviverilmiș bir nekrotizan fasiit olgusu sunulmuștur. CR - 1. Wang JM, Lim HK. Necrotizing fasciitis: eight-year experience and literature review. Braz J Infect Dis 2014; 18: 137-143. CR - 2. GA Naqvi, SA Malik, W Jan. Necrotizing Fasciitis of the lower extremity: a case report and current concept of diagnosis and management. Scand J Trauma Resusc Emerg Med 2009; 17: 28. CR - 3. McHenry CR, Piotrowski JJ, Petrinic D, et al. Determinants of mortality for necrotizing soft-tissue infections. Ann Surg 1995; 221: 558-563. CR - 4. Trent JT, Kirsner RS. Diagnosing necrotizing fasciitis. Adv Skin Wound Care 2002; 15: 135-138. CR - 5. File TM Jr, Tan JS, DiPersio JR. Group A streptococcal necrotizing fasciitis. Diagnosing and treating the “flesh-eating bacteria syndrome”. Cleve Clin J Med 1998; 65: 241-249. CR - 6. Shimizu T, Tokuda Y. Necrotizing fasciitis. Inter Med 2010; 49: 1051-1057. CR - 7. Carter PS, Banwell PE. Necrotising fasciitis: a new management algorithm based on clinical classification. Int Wound J 2004; 1: 189-198. CR - 8. Dufel S, Martino M. Simple cellulitis or a more serious infection? J Fam Pract 2006; 55: 396-400. CR - 9. Bisno AL, Stevens DL. Streptococcal infections of skin and soft tissues. N Engl J Med 1996; 334: 240-245. CR - 10. Lancerotto L, Tocco I, Salmaso R, et al. Necrotizing fasciitis: classification, diagnosis, and management. J Trauma Acute Care Surg 2012; 72: 560-566. CR - 11. Machado NO. Necrotizing fasciitis: The importance of early diagnosis, prompt surgical debridement and adjuvant therapy. North Am J Med Sci 2011; 3: 107- 118. CR - 12. Wong CH, Chang HC, Pasupathy S, et al. Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality. J Bone Joint Surg Am 2003; 85: 1454-1460. CR - 13. Napolitano LM. Severe soft tissue infections. Infect Dis Clin North Am 2009; 23: 571-591. CR - 14. Wall DB, Klein SR, Black S, et al. A simple model to help distinguish necrotizing fasciitis from nonnecrotizing soft tissue infection. J Am Coll Surg 2000; 191: 227-231. CR - 15. Wong CH, Khin LW, Heng KS, et al. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med 2004; 32: 1535-1541. CR - 16. Zacharias N, Velmahos GC, Salama A, et al. Diagnosis of necrotizing soft tissue infections by computed tomography. Arch Surg 2010; 145: 452-455. CR - 17. Arslan A, Pierre-Jerome C, Borthne A. Necrotizing fasciitis: unreliable MRI findings in the preoperative diagnosis. Eur J Radiol 2000; 36: 139-143. CR - 18. Young MH, Aronoff DM, Engleberg NC. Necrotizing fasciitis: pathogenesis and treatment. Expert Rev Anti Infect Ther 2005; 3: 279-294. UR - https://dergipark.org.tr/en/pub/autfm/article/1717541 L1 - https://dergipark.org.tr/en/download/article-file/4949861 ER -