A Different View of Necrotizing Fasciitis : Case Report and Review of the Literature

Yıl 2016, Cilt: 1 Sayı: 2, 71 - 74, 01.03.2017

Soner Tezcan Çağla Çiçek Dürdane Keskin Candemir Ceran Mustafa Erol Demirseren

Öz

Necrotizing fasciitis is characterised as a rapidly progressive inflammatory infection of the fascia, and thereby the secondary necrosis of the subcutaneous tissues. The speed of spread is directly proportional to the thickness of the subcutaneous layer. The frequency of necrotizing fasciitis

has been on the rise because of an increase in immunocompromised patients with diabetes mellitus, cancer, alcoholism, vascular insufficiencies, organ transplants, HIV infection or neutropenia. So we aimed to highlight different clinical presentations of the necrotising fasciitis which could be seen in lower extremities more frequently.

Anahtar Kelimeler

Necrotizing fasciitis, diabetes mellitus

Nekrotizan Fasiite Farklı Bir Bakış: Vaka Sunumu ve Literatürün Gözden Geçirilmesi

Öz

Nekrotizan fasiit: hızlı ilerleyen, progresif inflamatuar fasya enfeksiyonu ve buna bağlı gelişen sekonder subkütan doku enfeksiyonu olarak tanımlanmaktadır. Yayılımın hızı ise subkutan tabakanın kalınlığıyla doğrudan ilişkilidir. Diabetes mellitus, kanser, alkolizm, vasküler yetmezlikler, HIV enfeksiyonu, nötropeni ve organ transplantları gibi patolojilerin immün sistemi baskılanmış hastalarda artış göstermesi nedeniyle nekrotizan fasiit sıklığı da artış göstermektedir. Bu nedenle alt ekstremitelerde görülme sıklığı daha da fazla olan bu patolojinin değişik klinik prezentasyonlarına

dikkat çekmeyi amaçladık.

Anahtar Kelimeler

Nekrotizan fasiit, diyabetes mellitus

Kaynakça

• 1. Alblas J, Klicks RJ, Andrlessen A: A special case: treatment of a patient with necrotising fasciitis. British journal of nursing 2013, 22:S22-24, S26.
• 2. Cheung JP, Fung B, Tang WM, Ip WY: A review of necrotising fasciitis in the extremities. Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine 2009, 15:44-52.
• 3. Frisman E, Racz O, Beck J, Firment J, Bodnarova L: Fournier’s gangrene (necrotising fasciitis) complicated by renal and respiratory insufficiency: a case report. Journal of wound care 2016, 25:34, 36-38.
• 4. Altmann S, Meyer F, Infanger M, Damert HG: [Plastic- surgical treatment options in necrotising fasciitis]. Zentralblatt fur Chirurgie 2015, 140:205-209.
• 5. Arifi HM, Duci SB, Zatriqi VK, Ahmeti HR, Ismajli VH, Gashi MM, Zejnullahu YM, Mekaj AY: A retrospective study of 22 patients with necrotising fasciitis treated at the University Clinical Center of Kosovo (2005-2010). International wound journal 2013, 10:461-465.
• 6. Banwell PE, Bovill E, Carter P, Ahmed S: Diagnosing necrotising fasciitis. Journal of wound care 2005, 14:110-111.
• 7. Carter PS, Banwell PE: Necrotising fasciitis: a new management algorithm based on clinical classification. International wound journal 2004, 1:189-198.
• 8. Khan A, Ahmad N: Necrotising fasciitis managed without any surgical intervention. Eye 2001, 15:811-812.
• 9. Rietveld JA, Pilmore HL, Jones PG, Theis JC, Bowie DA, Dempster AG, Walker RJ: Necrotising fasciitis: a single centre’s experience. The New Zealand medical journal 1995, 108:72-74.
• 10. Garro Martinez P, Torrabadella de Reynoso P, Caja Lopez V, Sarmiento Martinez X: [Penicillin ineffectiveness in a case of necrotising fasciitis caused by Streptococcus pyogenes]. Medicina clinica 1995, 104:278.