Roberts Michael, Crasto David, Roy David
Dr. Roberts is with Merit Health Wesley in Hattiesburg, Mississippi.
Mr. Vo and Mr. Crasto are with the William Carey University College of Osteopathic Medicine in Hattiesburg, Mississippi.
J Clin Aesthet Dermatol. 2021 Jan;14(1):55-58. Epub 2021 Jan 1.
Necrotizing fasciitis (NF) is a progressive inflammatory infection of the fascia that is often aggressive and advances insidiously. NF can be preceded by traumatic injury or surgical intervention or may occur spontaneously. Here, we describe a patient who presented with monomicrobial subacute necrotizing fasciitis due to . Dermatology was consulted at the local hospital for suspected cellulitis with no resolution using appropriate antibiotics. Our patient failed to show improvement with antibiotic treatment and experienced an above-the-knee amputation. We have also included a review of the current literature on subacute necrotizing fasciitis and A case review of 25 patients resulted in rates of 52.1% for overall mortality, 72% for mortality among patients treated with only antibiotics, and 40% for mortality among patients treated with surgical debridement. There needs to be a high suspicion for necrotizing fasciitis even in patients presenting with cellulitis without systemic symptoms. If is isolated, more aggressive treatment may be warranted. More cases of subacute necrotizing fasciitis and need to be reported in the literature to better understand early diagnosis and best management practices.
坏死性筋膜炎（NF）是一种筋膜的进行性炎症感染，通常具有侵袭性且进展隐匿。NF可能由创伤性损伤或手术干预引发，也可能自发发生。在此，我们描述了一名因……而出现单微生物亚急性坏死性筋膜炎的患者。患者因疑似蜂窝织炎在当地医院就诊，使用适当抗生素治疗后未见好转。我们的患者接受抗生素治疗后未显示改善，并接受了膝上截肢手术。我们还纳入了对当前关于亚急性坏死性筋膜炎的文献综述，对25例患者的病例回顾显示总体死亡率为52.1%，仅接受抗生素治疗的患者死亡率为72%，接受手术清创治疗的患者死亡率为40%。即使是没有全身症状的蜂窝织炎患者，也需要高度怀疑坏死性筋膜炎。如果分离出……，可能需要更积极的治疗。文献中需要报告更多亚急性坏死性筋膜炎和……的病例，以更好地了解早期诊断和最佳管理方法。
