Quach Giang T, Frisby Jared, Kralovich Kurt, Bohra Mustafa
Oakwood Southshore Medical Center, Trenton, MI, USA.
St. John Macomb-Oakland Hospital, Madison Heights, MI, USA.
J Investig Med High Impact Case Rep. 2017 Oct 25;5(4):2324709617736791. doi: 10.1177/2324709617736791. eCollection 2017 Oct-Dec.
Necrotizing fasciitis (NF) is an infrequently encountered skin infection that has high morbidity and mortality, even with prompt medical and surgical intervention. We describe the case of a 67-year-old male presenting with significant NF in his left lower extremity, despite aggressive surgical intervention, and included multiple surgical debridements, ACell Matrix, split-thickness, and negative wound VAC therapy. Ultimately, this patient required a below the knee amputation. This is the first documented case of type a causing NF.
坏死性筋膜炎（NF）是一种罕见的皮肤感染，即使及时进行医学和外科干预，其发病率和死亡率也很高。我们描述了一名67岁男性的病例，他左下肢患有严重的坏死性筋膜炎，尽管进行了积极的外科干预，包括多次手术清创、使用ACell基质、中厚皮片移植和负压伤口封闭疗法。最终，这名患者需要进行膝下截肢。这是首例有记录的由a型引起坏死性筋膜炎的病例。
