Nazerani Shahram, Maghari Ahmad, Kalantar Motamedi Mohammad Hosein, Vahedian Ardakani Jalal, Rashidian Nikdokht, Nazerani Tina
Department of Surgery, Tehran University of Medical Sciences, Firuzgar Medical Center, Tehran, IR Iran.
Department of Reconstructive Surgeries, Mehr General Hospital, Tehran, IR Iran.
Trauma Mon. 2012 Summer;17(2):309-12. doi: 10.5812/traumamon.6398. Epub 2012 Jul 31.
Necrotizing fasciitis is a rare, life-threatening infection most commonly seen in patients with diabetes mellitus, intravenous drug abuse, and immunocompromised conditions. The extremities are the primary sites of involvement in as many as two thirds of the cases. In a significant proportion of patients, the extremities are involved as a result of trauma, needle puncture or extravasation of drugs. The infection is usually polymicrobial. Treatment involves broad-spectrum antibiotics and multiple surgical debridements or amputation. We present a patient with necrotizing fasciitis of the upper limb and present our experience with this often lethal condition.
坏死性筋膜炎是一种罕见的、危及生命的感染，最常见于糖尿病、静脉药物滥用和免疫功能低下的患者。多达三分之二的病例中，四肢是主要受累部位。在相当一部分患者中，四肢受累是由创伤、针刺或药物外渗引起的。这种感染通常是多微生物感染。治疗包括使用广谱抗生素以及多次手术清创或截肢。我们报告了一名上肢坏死性筋膜炎患者，并介绍了我们在这种常致命疾病方面的经验。
