A rare case of fully recovered necrotizing fasciitis.

IF 1.4 Q3 EMERGENCY MEDICINE International Journal of Burns and Trauma Pub Date : 2023-01-01
Ramin Shayan-Moghadam, Erfan Babaei Nejad, Hassan Zolghadr, Mohammad Hossein Nabian
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Abstract

Necrotizing fasciitis (NF) is a severe soft tissue infection caused by bacterial fascia invasion and quick spreading to the muscle and subcutaneous tissues. Treatments of NF should be conducted by extensive debridement and antibiotic therapies. This report presented a 53-year-old woman with diabetes mellitus (DM) and hypothyroid who was referred to our medical center with lower limb pain and significant swelling after mild trauma. The patient was diagnosed with NF due to E. coli. She underwent surgical interventions for debridement and long-term antibiotic therapy. The patient recovered successfully without complications or range of motion (ROM) restriction in the hip and knee. It is recommended that immediate actions be taken in NF cases to preserve the remaining tissues and provide better outcomes.

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一例完全恢复的坏死性筋膜炎。
坏死性筋膜炎(NF)是由细菌侵入筋膜并迅速扩散到肌肉和皮下组织引起的一种严重的软组织感染。NF的治疗应通过广泛清创和抗生素治疗进行。本文报告一位53岁女性,患有糖尿病(DM)及甲状腺功能减退症,因轻度创伤后下肢疼痛及明显肿胀而转诊至本中心。患者被诊断为由大肠杆菌引起的NF。她接受了手术清创和长期抗生素治疗。患者成功康复,无并发症或髋关节和膝关节活动范围受限。建议在NF病例中立即采取措施以保存剩余组织并提供更好的结果。
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