Khadakkar Sonali Prabhakar, Harkare Vivek V, Deosthale Nitin V, Gupta Ashish
N.K.P. Salve Institute of Medical Sciences, Nagpur, 440019 Maharashtra India.
Indian J Otolaryngol Head Neck Surg. 2011 Jul;63(Suppl 1):87-9. doi: 10.1007/s12070-011-0209-7. Epub 2011 Apr 23.
Necrotising fasciitis is a rare but rapidly progressive and potentially life threatening infection of the soft tissue, involving subcutaneous tissue and deep fascial layer. It may affect any part of the body, but the extremities, abdominal wall, and perineum are most commonly affected. Here we present a case of necrotising fasciitis of the neck and anterior chest wall which is a rare presentation. The risk factor of the disease was uncontrolled diabetes mellitus. We could treat this patient successfully by early recognition, aggressive surgical debridement, intravenous antibiotics, fractional doses of insulin to control diabetes and other supportive measures.
坏死性筋膜炎是一种罕见但进展迅速且可能危及生命的软组织感染，累及皮下组织和深筋膜层。它可影响身体的任何部位，但最常累及四肢、腹壁和会阴。在此，我们报告一例颈部和前胸壁坏死性筋膜炎的病例，这是一种罕见的表现。该疾病的危险因素是未得到控制的糖尿病。我们通过早期识别、积极的手术清创、静脉使用抗生素、分次给予胰岛素以控制糖尿病以及其他支持措施，成功地治疗了该患者。
