老年病人坏死性筋膜炎模拟烧伤1例。

IF 0.6 Q4 SURGERY Case Reports in Surgery Pub Date : 2023-01-01 DOI:10.1155/2023/3786364
Madiha Khan, Shubham Bhatia, Kelly L Cervellione, Martine A Louis
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引用次数: 0

摘要

坏死性筋膜炎沿筋膜平面和周围软组织传播,导致缺血和坏死。富尼耶坏疽是一种坏死性筋膜炎,侵袭会阴/生殖区域的深层和浅层。它在本质上是迅速发展的,可能会造成危及生命的后果。富尼耶氏病的临床表现往往具有误导性,并可能被误认为是其他疾病,如血肿、静脉炎、蜂窝织炎或感染性关节炎。由于延迟诊断的后果可能具有临床意义,因此识别潜在的模拟对于预防发病率或死亡率非常重要。我们报告一例富尼耶坏疽模仿二度烧伤,一个非常罕见的表现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A Case of Necrotizing Fasciitis Mimicking a Burn in an Elderly Patient.

Necrotizing fasciitis travels along the fascial plane and surrounding soft tissue, leading to ischemia and necrosis. Fournier's gangrene is a type of necrotizing fasciitis invading the deep and superficial planes of the perineal/genital region. It is rapidly progressive in nature and may have life-threatening consequences. Fournier's often exhibits a misleading clinical presentation and can be mistaken for other conditions, such as hematoma, phlebitis, cellulitis, or septic arthritis. Since the ramifications of delayed diagnosis can be clinically significant, recognition of potential mimics is important to prevent morbidity or mortality. We report a case of Fournier's gangrene mimicking a second-degree burn, an exceedingly rare presentation.

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