Dias Laura, Markeson Daniel, Evgeniou Evgenios, Misra Alok
Department of Otolaryngology, Wexham Park Hospital, Slough, Berkshire, UK.
BMJ Case Rep. 2012 Aug 8;2012:bcr2012006380. doi: 10.1136/bcr-2012-006380.
Necrotising fasciitis is a rare condition that should be diagnosed early and managed aggressively in order to avoid death. We present a case of necrotising fasciitis of the thumb and discuss the assessment and management of this serious condition. A 44-year-old woman presented with a painful and erythematous right thumb and progressive swelling of her hand following a minor injury to the tip of her thumb 3 days previously. A diagnosis of necrotising fasciitis was made and the patient underwent urgent debridement of non-viable tissue. She required 1 week of supportive therapy in intensive treatment unit and was discharged from hospital after 3 weeks. Necrotising fasciitis is a rapidly progressing life-threatening infection, usually caused by streptococcal organisms. Immediate resuscitation, broad-spectrum intravenous antibiotics and early surgical debridement are necessary in order to avoid significant morbidity and mortality.
坏死性筋膜炎是一种罕见疾病，应尽早诊断并积极治疗以避免死亡。我们报告一例拇指坏死性筋膜炎病例，并讨论这种严重疾病的评估与治疗。一名44岁女性，3天前拇指尖轻微受伤后，出现右拇指疼痛、红斑及手部进行性肿胀。诊断为坏死性筋膜炎，患者接受了紧急的坏死组织清创术。她在重症监护病房需要1周的支持治疗，3周后出院。坏死性筋膜炎是一种进展迅速、危及生命的感染，通常由链球菌引起。为避免严重的发病率和死亡率，立即进行复苏、使用广谱静脉抗生素及早期手术清创是必要的。
