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Year 2015, Volume: 5 Issue: 3, 84 - 88, 27.04.2015

Türkay Akbaş , Hüseyin Bilgin Umut Aykut Sait Karakurt

Abstract

Necrotizing fasciitis is a rapidly progressive infection of subcutan and fascia. Urgent surgical intervention should bedone otherwise it can be mortal. Here, we are going to present a case who was internated into the intensive care unit dueto NF-induced multiple organ failure which developed after trauma, and then, we are going to have a discussion aboutNF

Keywords

Multiple organ failure; surgical debridement; soft tissue infection

References

  • Hakkarainen TW. Necrotizing Soft Tissue Infections: Review and Current Concepts in Treatment, Systems of Care, and Outcomes. Curr Probl Surg. 2014; 51(8): 344-62.
  • Wong CH, Chang HC, Pasupathy S, Khin LW, Tan JL, Low CO. Necrotizing Fasciitis: Clinical Presentation, Microbiology, and Determinants of Mortality. J Bone Joint Surg Am. 2003; 85-A(8): 1454-60.
  • Wang YS, Wong CH, Tay YK. Staging of Necrotizing Fasciitis Based on The Evolving Cutaneous Features. Int J Dermatol. 2007; 46(10): 1036-41.
  • Ward RG, Walsh MS. Necrotizing Fasciitis: 10 Years’ Experience in A District General Hospital. Br J Surg. 1991; 78(4): 488-9.
  • Elliott D, Kufera JA, Myers RA. Necrotizing Soft Tissue Infections. Risk Factors for Mortality And Strategies For Management. Ann Surg. 1996; 224(5): 672-83.
  • Brook I, Frazier E. Clinical And Microbiological Features of Necrotizing Fasciitis. J Clin Microbiol. 1995; 33(9): 2382-7
  • Seal DV. Necrotizing Fasciitis. Curr Opin Infect Dis. 2001; 14(2): 127-32.
  • Bisno AL, Stevens DL. Streptococcal Infections of Skin and Soft Tissues. N Engl J Med. 1996; 334(4): 240-5.
  • Kaul R, Mcgeer A, Low DE, Green K, Schwartz B. Population-based surveillance for group a streptococcal necrotizing fasciitis: clinical features, prognostic indicators, and microbiologic analysis of seventy-seven cases. Ontario Group A Streptococcal Study. Am J Med. 1997; 103(1): 18-24.
  • Bilton BD, Zibari GB, Mcmillan RW, Aultman DF, Dunn G, Mcdonald J. Aggressive Surgical Management of Necrotizing Fasciitis Serves to Decrease Mortality: A Retrospective Study. Am Surg. 1998; 64(5): 397-400.
  • Kobayashi L, Konstantinidis A, Shackelford S, Chan LS, Talving P, Inaba K, et al. Necrotizing Soft Tissue Infections: Delayed Surgical Treatment Is Associated with Increased Number of Surgical Debridements and Morbidity. J Trauma. 2011; 71(5): 1400-5.
  • Miller LG, Perdreau-Remington F, Rieg G, Mehdi S, Perlroth J, Bayer A, et al. Necrotizing Fasciitis Caused By Community-Associated Methicillin–Resistant Sataphylococcus Auresu in Los Angeles. N Engl J Med. 2005; 352(14): 1445-53.

Nekrotizan Fasiit: Gecikmiş Cerrahi Müdahale Mortaliteyi Artırır

Year 2015, Volume: 5 Issue: 3, 84 - 88, 27.04.2015

Türkay Akbaş , Hüseyin Bilgin Umut Aykut Sait Karakurt

Abstract

Nekrotizan fasiit,  cilt altı ve fasyayı tutan ve hızlı ilerleyen derin doku enfeksiyonudur. Cerrahi müdahale ivedilikle yapılmazsa mortal bir seyir gösterebilir. Bu yazıda travma sonrasında NF gelişen ve çoklu organ yetmezliğiyle yoğun bakım ünitesine yatırılan bir vaka üzerinden NF tartışılacaktır.

Keywords

Çoklu organ yetmezliği; cerrahi debridman; yumuşak doku enfeksiyonu

References

  • Hakkarainen TW. Necrotizing Soft Tissue Infections: Review and Current Concepts in Treatment, Systems of Care, and Outcomes. Curr Probl Surg. 2014; 51(8): 344-62.
  • Wong CH, Chang HC, Pasupathy S, Khin LW, Tan JL, Low CO. Necrotizing Fasciitis: Clinical Presentation, Microbiology, and Determinants of Mortality. J Bone Joint Surg Am. 2003; 85-A(8): 1454-60.
  • Wang YS, Wong CH, Tay YK. Staging of Necrotizing Fasciitis Based on The Evolving Cutaneous Features. Int J Dermatol. 2007; 46(10): 1036-41.
  • Ward RG, Walsh MS. Necrotizing Fasciitis: 10 Years’ Experience in A District General Hospital. Br J Surg. 1991; 78(4): 488-9.
  • Elliott D, Kufera JA, Myers RA. Necrotizing Soft Tissue Infections. Risk Factors for Mortality And Strategies For Management. Ann Surg. 1996; 224(5): 672-83.
  • Brook I, Frazier E. Clinical And Microbiological Features of Necrotizing Fasciitis. J Clin Microbiol. 1995; 33(9): 2382-7
  • Seal DV. Necrotizing Fasciitis. Curr Opin Infect Dis. 2001; 14(2): 127-32.
  • Bisno AL, Stevens DL. Streptococcal Infections of Skin and Soft Tissues. N Engl J Med. 1996; 334(4): 240-5.
  • Kaul R, Mcgeer A, Low DE, Green K, Schwartz B. Population-based surveillance for group a streptococcal necrotizing fasciitis: clinical features, prognostic indicators, and microbiologic analysis of seventy-seven cases. Ontario Group A Streptococcal Study. Am J Med. 1997; 103(1): 18-24.
  • Bilton BD, Zibari GB, Mcmillan RW, Aultman DF, Dunn G, Mcdonald J. Aggressive Surgical Management of Necrotizing Fasciitis Serves to Decrease Mortality: A Retrospective Study. Am Surg. 1998; 64(5): 397-400.
  • Kobayashi L, Konstantinidis A, Shackelford S, Chan LS, Talving P, Inaba K, et al. Necrotizing Soft Tissue Infections: Delayed Surgical Treatment Is Associated with Increased Number of Surgical Debridements and Morbidity. J Trauma. 2011; 71(5): 1400-5.
  • Miller LG, Perdreau-Remington F, Rieg G, Mehdi S, Perlroth J, Bayer A, et al. Necrotizing Fasciitis Caused By Community-Associated Methicillin–Resistant Sataphylococcus Auresu in Los Angeles. N Engl J Med. 2005; 352(14): 1445-53.
There are 12 citations in total.

Details

Primary Language Turkish
Journal Section Case Reports
Authors

Türkay Akbaş

Hüseyin Bilgin This is me

Umut Aykut This is me

Sait Karakurt This is me

Publication Date April 27, 2015
Submission Date April 27, 2015
Published in Issue Year 2015 Volume: 5 Issue: 3

Cite

APA Akbaş, T., Bilgin, H., Aykut, U., Karakurt, S. (2015). Nekrotizan Fasiit: Gecikmiş Cerrahi Müdahale Mortaliteyi Artırır. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 5(3), 84-88.
AMA Akbaş T, Bilgin H, Aykut U, Karakurt S. Nekrotizan Fasiit: Gecikmiş Cerrahi Müdahale Mortaliteyi Artırır. DÜ Sağlık Bil Enst Derg. October 2015;5(3):84-88.
Chicago Akbaş, Türkay, Hüseyin Bilgin, Umut Aykut, and Sait Karakurt. “Nekrotizan Fasiit: Gecikmiş Cerrahi Müdahale Mortaliteyi Artırır”. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 5, no. 3 (October 2015): 84-88.
EndNote Akbaş T, Bilgin H, Aykut U, Karakurt S (October 1, 2015) Nekrotizan Fasiit: Gecikmiş Cerrahi Müdahale Mortaliteyi Artırır. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 5 3 84–88.
IEEE T. Akbaş, H. Bilgin, U. Aykut, and S. Karakurt, “Nekrotizan Fasiit: Gecikmiş Cerrahi Müdahale Mortaliteyi Artırır”, DÜ Sağlık Bil Enst Derg, vol. 5, no. 3, pp. 84–88, 2015.
ISNAD Akbaş, Türkay et al. “Nekrotizan Fasiit: Gecikmiş Cerrahi Müdahale Mortaliteyi Artırır”. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 5/3 (October 2015), 84-88.
JAMA Akbaş T, Bilgin H, Aykut U, Karakurt S. Nekrotizan Fasiit: Gecikmiş Cerrahi Müdahale Mortaliteyi Artırır. DÜ Sağlık Bil Enst Derg. 2015;5:84–88.
MLA Akbaş, Türkay et al. “Nekrotizan Fasiit: Gecikmiş Cerrahi Müdahale Mortaliteyi Artırır”. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, vol. 5, no. 3, 2015, pp. 84-88.
Vancouver Akbaş T, Bilgin H, Aykut U, Karakurt S. Nekrotizan Fasiit: Gecikmiş Cerrahi Müdahale Mortaliteyi Artırır. DÜ Sağlık Bil Enst Derg. 2015;5(3):84-8.
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