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[一例颈部坏死性筋膜炎致死病例]

[A fatal case of necrotizing fasciitis of the neck].

作者信息

Osma Ustün, Eyigör Hülya, Yılmaz Mustafa Deniz

机构信息

Department of Otolaryngology, Antalya Training and Research Hospital, Antalya, Turkey.

出版信息

Kulak Burun Bogaz Ihtis Derg. 2011 Nov-Dec;21(6):341-4. doi: 10.5606/kbbihtisas.2011.053.

Abstract

Necrotizing fasciitis is a rare but life-threatening soft-tissue infection primarily involving the superficial fascia and subcutaneous tissue. Only early diagnosis and aggressive therapy including broad-spectrum antibiotics and surgical intervention can avoid systemic toxicity associated with a high mortality rate. Necrotizing fasciitis is rarely seen in the head and neck region. In this article, we report a fatal case of necrotizing fasciitis in the neck of 75-years-old female patient and reviewed the microbiology, diagnosis, treatment and prognosis of this rare infection together with literature data.

摘要

坏死性筋膜炎是一种罕见但危及生命的软组织感染,主要累及浅筋膜和皮下组织。只有早期诊断并采取包括广谱抗生素和手术干预在内的积极治疗,才能避免与高死亡率相关的全身毒性。坏死性筋膜炎在头颈部区域很少见。在本文中,我们报告了一例75岁女性患者颈部坏死性筋膜炎致死病例,并结合文献资料对这种罕见感染的微生物学、诊断、治疗及预后进行了综述。

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