Geleneksel Tedaviden Büyük Bir Ampütasyona: Zooterapi Kaynaklı Nekrotizan Yumuşak Doku Enfeksiyonu

Öz

Özet Giriş: Sağlık hizmetlerine erişimin kısıtlı olduğu veya sağlık okuryazarlığının düşük olduğu toplumlarda tıbbi geçerliliği olmayan geleneksel uygulamalar yaygın olarak kullanılmaktadır. Steril koşullardan uzak bu tür müdahaleler, ciddi yumuşak doku enfeksiyonlarına ve doku nekrozuna yol açabilir. Bu olgu sunumunda, alt ekstremite travması sonrası hayvan akciğeri uygulanmasını takiben gelişen yaygın selülit, doku nekrozu ve amputasyonla sonuçlanan nadir bir klinik tablo sunulmaktadır. Olgu: Doksan yaşındaki erkek hasta, ayak bileği burkulması sonrası travmalı bölgeye steril olmayan koyun akciğeri dokusu sarmıştır. Başvurusunda yaygın eritem, ödem, kötü kokulu akıntı ve sistemik inflamasyon bulguları saptanmıştır. Geniş spektrumlu antibiyotik tedavisine rağmen ilgili ekstremitede arteriyel oklüzyon gelişmiş ve progresif iskemik süreç sonunda majör amputasyon uygulanmak zorunda kalınmıştır. Sonuç: Bu vaka, modern tıp dışı müdahalelerin yol açabileceği ciddi komplikasyonlara dikkat çekmektedir. Özellikle ileri yaş ve komorbid bireylerde bu tür uygulamalar geri dönüşsüz sonuçlara yol açabilir. Erken tanı ve etkili tıbbi müdahale, benzer olguların mortalite ve morbiditesini azaltmada hayati önem taşır.

Anahtar Kelimeler

• Traditional treatment
• cellulitis
• soft tissue infection
• necrosis

Etik Beyan

Bu çalışma etik ilkelere uyularak yazılmıştır.

From a Traditional Treatment to a Major Amputation: A Zootherapy-Induced Necrotizing Soft Tissue Infection

Öz

Abstract Introduction: Non-evidence-based traditional practices are still widely used in communities with limited access to healthcare or low health literacy. The non-sterile nature of such interventions may predispose individuals to severe soft tissue infections and tissue necrosis. This case report presents a clinical scenario involving widespread cellulitis, necrosis, and eventual amputation following the application of animal lung tissue after lower extremity trauma. Case Presentation: A 90-year-old male patient applied non-sterile animal lung tissue to the traumatized area following an ankle sprain. Upon admission, widespread erythema, edema, localized heat increase, foul-smelling discharge, and signs of systemic inflammation were observed in the affected foot. Clinical and radiological evaluations revealed cellulitis, necrosis, and deep soft tissue infection. Broad-spectrum antibiotic therapy was initiated. However, during follow-up, in addition to progressive infection, arterial occlusion developed in the affected extremity. Despite all medical and surgical interventions, no clinical response was achieved, and major amputation was ultimately performed. Conclusion: Non-evidence-based local practices may lead to serious infectious complications and irreversible outcomes, particularly in elderly individuals. This case, which is rarely reported in the literature, highlights a clinical course involving widespread cellulitis, tissue necrosis, arterial occlusion, and ultimately major amputation following the application of non-sterile animal lung tissue. The presented case demonstrates the destructive impact of non-medical interventions and emphasizes the importance of early diagnosis and management in similar situations

Anahtar Kelimeler

• Traditional treatment
• cellulitis
• soft tissue infection
• necrosis

Etik Beyan

This study was conducted in accordance with ethical principles.

Kaynakça

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