Zeaiter Nancy, Maassarani Deoda, Ghanime George, Sleiman Ziad
Plastic and Reconstructive Surgery, Lebanese University, Beirut, LBN.
Plastic Surgery, Lebanese Hospital Geitawi UMC, Aschrafieh, LBN.
Cureus. 2022 Aug 16;14(8):e28055. doi: 10.7759/cureus.28055. eCollection 2022 Aug.
Necrotizing fasciitis (NF) is a necrotizing soft tissue infection that can result in fast tissue loss, necrosis, and potentially fatal acute sepsis. Diabetes, cancer, alcohol abuse, and chronic liver and renal disease are all risk factors for NF. In this case report, a 19-year-old man with a negative past medical and surgical history was diagnosed with aggressive rapidly progressive necrotizing fasciitis of the left lower extremity after a recent history of falling down from a skateboard. A successful treatment with long-term debridement surgeries followed by reconstructive surgery with skin grafting was made. Although the severity of this condition, the patient was able to resume a normal range of motion of the concerned extremity. NF has been described in the literature, but early diagnosis, which is crucial for successful management, rests a challenge.
坏死性筋膜炎（NF）是一种坏死性软组织感染，可导致组织快速坏死，并可能引发致命的急性败血症。糖尿病、癌症、酗酒以及慢性肝肾疾病均为NF的危险因素。在本病例报告中，一名既往无内科及外科病史的19岁男性，在近期有滑板摔倒史后，被诊断为左下肢侵袭性快速进展性坏死性筋膜炎。通过长期清创手术及随后的皮肤移植重建手术，治疗取得成功。尽管病情严重，但患者相关肢体的活动范围仍恢复正常。坏死性筋膜炎在文献中已有记载，但早期诊断对成功治疗至关重要，目前仍是一项挑战。
