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Künt Travmaya İkincil Gecikmiş Bir Nekrotizan Fasiit Olgusu

Year 2015, Volume: 68 Issue: 3, 137 - 141, 31.12.2015

Abstract

Necrotizing fasciitis is a rare, rapidly progressive, and potentially fatal soft tissue infection of
the 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 is
difficult to manage. In this report, we present a necrotizing fasciitis case of a 48-year-old male
with blunt gluteal trauma after falling on stairs.

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References

  • 1. Wang JM, Lim HK. Necrotizing fasciitis: eight-year experience and literature review. Braz J Infect Dis 2014; 18: 137-143.
  • 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.
  • 3. McHenry CR, Piotrowski JJ, Petrinic D, et al. Determinants of mortality for necrotizing soft-tissue infections. Ann Surg 1995; 221: 558-563.
  • 4. Trent JT, Kirsner RS. Diagnosing necrotizing fasciitis. Adv Skin Wound Care 2002; 15: 135-138.
  • 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.
  • 6. Shimizu T, Tokuda Y. Necrotizing fasciitis. Inter Med 2010; 49: 1051-1057.
  • 7. Carter PS, Banwell PE. Necrotising fasciitis: a new management algorithm based on clinical classification. Int Wound J 2004; 1: 189-198.
  • 8. Dufel S, Martino M. Simple cellulitis or a more serious infection? J Fam Pract 2006; 55: 396-400.
  • 9. Bisno AL, Stevens DL. Streptococcal infections of skin and soft tissues. N Engl J Med 1996; 334: 240-245.
  • 10. Lancerotto L, Tocco I, Salmaso R, et al. Necrotizing fasciitis: classification, diagnosis, and management. J Trauma Acute Care Surg 2012; 72: 560-566.
  • 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.
  • 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.
  • 13. Napolitano LM. Severe soft tissue infections. Infect Dis Clin North Am 2009; 23: 571-591.
  • 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.
  • 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.
  • 16. Zacharias N, Velmahos GC, Salama A, et al. Diagnosis of necrotizing soft tissue infections by computed tomography. Arch Surg 2010; 145: 452-455.
  • 17. Arslan A, Pierre-Jerome C, Borthne A. Necrotizing fasciitis: unreliable MRI findings in the preoperative diagnosis. Eur J Radiol 2000; 36: 139-143.
  • 18. Young MH, Aronoff DM, Engleberg NC. Necrotizing fasciitis: pathogenesis and treatment. Expert Rev Anti Infect Ther 2005; 3: 279-294.

Künt Travmaya İkincil Gecikmiș Bir Nekrotizan Fasiit Olgusu*

Year 2015, Volume: 68 Issue: 3, 137 - 141, 31.12.2015

Abstract

Nekrotizan fasiit (NF) deri, deri altı doku, fasya ve kas tabakasını tutan, hızla invazyon ve yayılım
göstererek yașamı tehdit eden nadir bir yumușak doku enfeksiyonudur. Tedavi, klinik olarak
erken șüphe ile uygun antibiyoterapi desteğinin sağlanması ve cerrahi müdahalenin hızlı ve
agresif 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 bașvurana
kadar bir hafta süre ile perianal ve sağ alt ekstremite ağrısı için sadece semptomatik tedavi
verilmiș bir nekrotizan fasiit olgusu sunulmuștur.

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

References

  • 1. Wang JM, Lim HK. Necrotizing fasciitis: eight-year experience and literature review. Braz J Infect Dis 2014; 18: 137-143.
  • 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.
  • 3. McHenry CR, Piotrowski JJ, Petrinic D, et al. Determinants of mortality for necrotizing soft-tissue infections. Ann Surg 1995; 221: 558-563.
  • 4. Trent JT, Kirsner RS. Diagnosing necrotizing fasciitis. Adv Skin Wound Care 2002; 15: 135-138.
  • 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.
  • 6. Shimizu T, Tokuda Y. Necrotizing fasciitis. Inter Med 2010; 49: 1051-1057.
  • 7. Carter PS, Banwell PE. Necrotising fasciitis: a new management algorithm based on clinical classification. Int Wound J 2004; 1: 189-198.
  • 8. Dufel S, Martino M. Simple cellulitis or a more serious infection? J Fam Pract 2006; 55: 396-400.
  • 9. Bisno AL, Stevens DL. Streptococcal infections of skin and soft tissues. N Engl J Med 1996; 334: 240-245.
  • 10. Lancerotto L, Tocco I, Salmaso R, et al. Necrotizing fasciitis: classification, diagnosis, and management. J Trauma Acute Care Surg 2012; 72: 560-566.
  • 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.
  • 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.
  • 13. Napolitano LM. Severe soft tissue infections. Infect Dis Clin North Am 2009; 23: 571-591.
  • 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.
  • 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.
  • 16. Zacharias N, Velmahos GC, Salama A, et al. Diagnosis of necrotizing soft tissue infections by computed tomography. Arch Surg 2010; 145: 452-455.
  • 17. Arslan A, Pierre-Jerome C, Borthne A. Necrotizing fasciitis: unreliable MRI findings in the preoperative diagnosis. Eur J Radiol 2000; 36: 139-143.
  • 18. Young MH, Aronoff DM, Engleberg NC. Necrotizing fasciitis: pathogenesis and treatment. Expert Rev Anti Infect Ther 2005; 3: 279-294.
There are 18 citations in total.

Details

Primary Language English
Subjects General Surgery
Journal Section Case Report
Authors

Ömer Arda Çetinkaya 0000-0001-9135-8224

Süleyman Utku Çelik 0000-0002-1570-6327

Mehmet Hakan Uncu 0000-0002-8905-1044

Project Number -
Publication Date December 31, 2015
Published in Issue Year 2015 Volume: 68 Issue: 3

Cite

APA Çetinkaya, Ö. A., Çelik, S. U., & Uncu, M. H. (2015). Künt Travmaya İkincil Gecikmiş Bir Nekrotizan Fasiit Olgusu. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 68(3), 137-141.
AMA Çetinkaya ÖA, Çelik SU, Uncu MH. Künt Travmaya İkincil Gecikmiş Bir Nekrotizan Fasiit Olgusu. Ankara Üniversitesi Tıp Fakültesi Mecmuası. December 2015;68(3):137-141.
Chicago Çetinkaya, Ömer Arda, Süleyman Utku Çelik, and Mehmet Hakan Uncu. “Künt Travmaya İkincil Gecikmiş Bir Nekrotizan Fasiit Olgusu”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 68, no. 3 (December 2015): 137-41.
EndNote Çetinkaya ÖA, Çelik SU, Uncu MH (December 1, 2015) Künt Travmaya İkincil Gecikmiş Bir Nekrotizan Fasiit Olgusu. Ankara Üniversitesi Tıp Fakültesi Mecmuası 68 3 137–141.
IEEE Ö. A. Çetinkaya, S. U. Çelik, and M. H. Uncu, “Künt Travmaya İkincil Gecikmiş Bir Nekrotizan Fasiit Olgusu”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 68, no. 3, pp. 137–141, 2015.
ISNAD Çetinkaya, Ömer Arda et al. “Künt Travmaya İkincil Gecikmiş Bir Nekrotizan Fasiit Olgusu”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 68/3 (December2015), 137-141.
JAMA Çetinkaya ÖA, Çelik SU, Uncu MH. Künt Travmaya İkincil Gecikmiş Bir Nekrotizan Fasiit Olgusu. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2015;68:137–141.
MLA Çetinkaya, Ömer Arda et al. “Künt Travmaya İkincil Gecikmiş Bir Nekrotizan Fasiit Olgusu”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 68, no. 3, 2015, pp. 137-41.
Vancouver Çetinkaya ÖA, Çelik SU, Uncu MH. Künt Travmaya İkincil Gecikmiş Bir Nekrotizan Fasiit Olgusu. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2015;68(3):137-41.