CASE REPORT OF NECROTIZING FASCIITIS IN A PATIENT WITH HYPERGLYCEMIA

Gözde Yilmaz, Vahit Şener, İsmail Furkan Şi̇mşek, Necmi Baykan, Ömer Salt
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Abstract

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.
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高血糖患者坏死性筋膜炎病例报告
坏死性筋膜炎是由多种细菌引起的一种重要疾病,会导致皮肤和软组织坏死。患处可能会出现肿胀、变色和鼓包。触诊时皮下出现褶皱是坏死性筋膜炎的警示信号。在我们的病例中,一名因高血糖入急诊科的患者在经过全面系统检查后,初步诊断为坏死性筋膜炎。经影像学检查确诊,但患者在开始治疗前死亡。由于死亡率相当高,因此快速诊断和开始治疗非常重要。
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