Graves J, Cella C, Peacock J E, Plonk G
Am J Nephrol. 1987;7(3):241-2. doi: 10.1159/000167472.
Necrotizing fasciitis is a serious, rapidly progressive infection of subcutaneous tissue and fascia. While free intraperitoneal air is known to occur in peritoneal dialysis patient, dissection of this air into the abdominal wall mimicking the subcutaneous emphysema of necrotizing fasciitis has not previously been reported. We herein report the first case of pseudonecrotizing fasciitis due to dialysate fluid and air leak in a patient on peritoneal dialysis and discuss features differentiating this process from true necrotizing fasciitis.
坏死性筋膜炎是一种严重的、迅速进展的皮下组织和筋膜感染。虽然已知腹膜透析患者会出现游离腹腔积气，但此前尚未有将这种气体扩散至腹壁并酷似坏死性筋膜炎皮下气肿的报道。我们在此报告首例因腹膜透析液和空气渗漏导致的腹膜透析患者假性坏死性筋膜炎病例，并讨论该过程与真正坏死性筋膜炎的鉴别特征。
