ALShareef Basem, ALSaleh Nourah
Department of General Surgery, Al-Noor Specialist Hospital, Makkah, Saudi Arabia.
Case Rep Surg. 2018 Oct 23;2018:1370680. doi: 10.1155/2018/1370680. eCollection 2018.
Necrotizing fasciitis is a life-threatening aggressive soft tissue infection which usually affects the extremities, abdominal wall, or perineum. Breasts are rarely affected, with most cases presenting after trauma or surgical intervention. It may be misdiagnosed as abscess or cellulitis, leading to treatment delays. Here, we report a case of necrotizing fasciitis affecting both breasts in a 60-year-old female. Treatment included core biopsy managed with intravenous antibiotic and surgical debridement followed by a simple mastectomy. Currently, the patient is disease-free with a completely healed wound.
坏死性筋膜炎是一种危及生命的侵袭性软组织感染,通常影响四肢、腹壁或会阴。乳房很少受累,大多数病例在创伤或手术干预后出现。它可能被误诊为脓肿或蜂窝织炎,导致治疗延迟。在此,我们报告一例60岁女性双侧乳房坏死性筋膜炎的病例。治疗包括通过静脉注射抗生素和手术清创进行核心活检,随后进行单纯乳房切除术。目前,患者无疾病,伤口已完全愈合。