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一例极为罕见的金属沉着病所致坏死性筋膜炎病例

A Very Rare Case of Necrotizing Fasciitis Caused by Metallosis.

作者信息

Huang Dun-Wei, Liu Nien-Tzu, Liu Hung-Hui, Dai Niann-Tzyy, Chen Shyi-Gen, Tzeng Yuan-Sheng

机构信息

Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.

出版信息

Int J Low Extrem Wounds. 2023 Jun;22(2):423-427. doi: 10.1177/15347346211009401. Epub 2021 Apr 23.

Abstract

Necrotizing fasciitis is a surgically diagnosed infection of the deep soft tissues that results in high mortality. It is usually caused by aerobic and anaerobic bacteria and group A . Metallosis is characterized by the deposition of metal debris in the blood that causes metal poisoning and tissue damage. The abrasion of metal components that occurs after joint replacements causes metallosis, which may lead to severe complications. We report a rare case of metallosis-induced necrotizing fasciitis of the right thigh. Metallosis should be considered as a cause of necrotizing fasciitis if the patient has had a joint replacement surgery.

摘要

坏死性筋膜炎是一种经手术诊断的深部软组织感染,死亡率很高。它通常由需氧菌、厌氧菌和A组细菌引起。金属沉着病的特征是血液中金属碎屑沉积,导致金属中毒和组织损伤。关节置换后发生的金属部件磨损会引起金属沉着病,这可能导致严重并发症。我们报告一例罕见的右大腿金属沉着病诱发的坏死性筋膜炎病例。如果患者接受过关节置换手术,应考虑金属沉着病是坏死性筋膜炎的一个病因。

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