CASE REPORT OF NECROTIZING FASCIITIS IN A PATIENT WITH HYPERGLYCEMIA

Öz

Necrotizing fasciitis is an important disease caused by multiple bacteria resulting in necrosis of the skin and soft tissue. Swelling, discoloration and bullae formation may be observed in the affected area. The presence of crepitation under the skin on palpation is a warning sign for necrotizing fasciitis. In our case, necrotizing fasciitis was considered as a preliminary diagnosis after a comprehensive systemic examination in a patient admitted to the emergency department with hyperglycemia. The diagnosis was confirmed by imaging, but the patient died before treatment could be started. Since the mortality rate is quite high, rapid diagnosis and initiation of treatment is very important.

Anahtar Kelimeler

• Necrotizing fasciitis
• Soft tissue infection
• Diabetes mellitus

Kaynakça

1. 1. Chowdary MS, Srinivasan D, Sreeramulu PN, Tejaswini MP, Krishna PK. The clinical efficacy of laboratory risk indicator for necrotizing fascitis score in early diagnosis of patients with necrotizing fascitis. International Surgery Journal. 2021;8.7:2133-9.
2. 2. İlhan M, Gemici E, Yanar F, Kapan S, Alış H. Nekrotizan fasiit tedavi yaklaşımları: 5 yıllık tek merkez deneyimi. Med J Bakirkoy. 2014;10.2:70-4.
3. 3. Zhang Z, Liu P, Yang B, Li J, Wang W, Yang H, et al. Necrotizing fasciitis caused by diabetic foot. Int J Infect Dis. 2020;14:316–27.
4. 4. Buyukkocak Unase Sepsiste glukoz kontrolü. Flora İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, vol.15, no.3, 2010, ss.97 - 104
5. 5. Colak E, Ozlem N, Kucuk GO, Aktimur R, Kesmer S. Laboratory risk indicators for necrotizing fasciitis and associations with mortality. Turk J Emerg Med 2014;14:15-9.
6. 6. Carbonetti F, Cremona A, Carusi V, Guidi M, Iannicelli E, Di Girolamo M. The role of contrast enhanced computed tomography in the diagnosis of necrotizing fasciitis and comparison with the laboratory risk indicator for necrotizing fasciitis (LRINEC). Radiol Med. 2016;121:106-21.
7. 7. Fayad LM, Carrino JA, Fishman EK. Musculoskeletal Infection: Role of CT in the emergency department. Radiographics. 2007;27:1723-36.
8. 8. Ditsios K, Chitas K, Christidis P, Charatsis K, Katsimentzas T, Papadopoulos P. Necrotizing fasciitis of the upper extremity–A review. Orthopedic Reviews. 2022;14:3.

9. 9. Yakar Ş, Kantar Y, Baykan N. Gecikilen vakada kaçınılmaz ölüm: nekrotizan fasiit vaka sunumu. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi. 2018;32(1):53-7.