Wollina Uwe, Langner Dana, Heinig Birgit, Schönlebe Jacqueline, Nowak Andreas
Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany
Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany.
Int J Low Extrem Wounds. 2016 Mar;15(1):68-70. doi: 10.1177/1534734616628372.
Erysipelas are common soft tissue infections responding to first-line antibiosis. Because of factors of related to responsible bacteria and host, complications can occur that need extensive surgery in addition to intensified drug therapy. We report on a 65-year-old woman with leg ulcer who developed an absceding and necrotizing panniculitis of the affected leg complicating erysipelas. Escherichia coli and Pseudomonas aeruginosa were identified. Debridement and surgical removal of inflamed subcutaneous adipose tissue was decisive to interrupt the process. Wound bed preparation was realized by vacuum-assisted closure. Final wound closure was done by split-skin mesh graft. Complicated skin and skin structure infections need a combined approach of intensified antibiosis and surgery to save life.
丹毒是对一线抗生素有反应的常见软组织感染。由于与致病细菌和宿主相关的因素，可能会出现并发症，除了强化药物治疗外，还需要进行广泛的手术。我们报告一例65岁患有腿部溃疡的女性，其患腿出现脓肿和坏死性脂膜炎，并发丹毒。已鉴定出大肠杆菌和铜绿假单胞菌。清创和手术切除发炎的皮下脂肪组织对于中断病程至关重要。通过负压封闭引流实现伤口床准备。最终通过分层皮片网状移植进行伤口闭合。复杂皮肤和皮肤结构感染需要强化抗生素治疗与手术相结合的方法来挽救生命。
