Anyanwu Lofty-John Chukwuemeka, Yakubu Ashuku Ahmed
Aminu Kano Teaching Hospital and Bayero University Kano, Kano, Nigeria.
Int J Low Extrem Wounds. 2012 Sep;11(3):169-70. doi: 10.1177/1534734612451747. Epub 2012 Jun 12.
Necrotizing fasciitis is a rare life-threatening condition characterized by rapidly spreading infection in the subcutaneous tissues. Most of the time, the infection is precipitated by an event that produces a break in the epidermis. The authors report the case of a 55-year-old farmer who developed a necrotizing fasciitis of the left lower limb following a rat bite. The patient had serial debridement of his wound and broad-spectrum antibiotics and subsequent partial thickness skin grafting. His total duration of admission was 93 days. Early diagnosis, an aggressive wound debridement, and broad-spectrum antibiotics form the backbone of the successful management of this case.
坏死性筋膜炎是一种罕见的危及生命的疾病，其特征是皮下组织感染迅速扩散。大多数情况下，感染是由导致表皮破损的事件引发的。作者报告了一例55岁农民的病例，该患者在被老鼠咬伤后发生了左下肢坏死性筋膜炎。患者接受了伤口的系列清创术、广谱抗生素治疗，随后进行了部分厚度的皮肤移植。他的总住院时间为93天。早期诊断、积极的伤口清创和广谱抗生素是成功治疗该病例的关键。
