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一例坏死性筋膜炎完全康复的罕见病例。

A rare case of fully recovered necrotizing fasciitis.

作者信息

Shayan-Moghadam Ramin, Nejad Erfan Babaei, Zolghadr Hassan, Nabian Mohammad Hossein

机构信息

Orthopedics Resident, Department of Orthopaedic Surgery, Center for Orthopedic Trans-disciplinary Applied Research, Shariati Hospital, Tehran University of Medical Sciences Tehran, Iran.

Associated Professor, Department of Orthopaedic Surgery, Center for Orthopedic Trans-disciplinary Applied Research, Shariati Hospital, Tehran University of Medical Sciences Tehran, Iran.

出版信息

Int J Burns Trauma. 2023 Feb 15;13(1):1-7. eCollection 2023.

Abstract

Necrotizing fasciitis (NF) is a severe soft tissue infection caused by bacterial fascia invasion and quick spreading to the muscle and subcutaneous tissues. Treatments of NF should be conducted by extensive debridement and antibiotic therapies. This report presented a 53-year-old woman with diabetes mellitus (DM) and hypothyroid who was referred to our medical center with lower limb pain and significant swelling after mild trauma. The patient was diagnosed with NF due to E. coli. She underwent surgical interventions for debridement and long-term antibiotic therapy. The patient recovered successfully without complications or range of motion (ROM) restriction in the hip and knee. It is recommended that immediate actions be taken in NF cases to preserve the remaining tissues and provide better outcomes.

摘要

坏死性筋膜炎(NF)是一种由细菌侵入筋膜并迅速扩散至肌肉和皮下组织引起的严重软组织感染。NF的治疗应通过广泛清创和抗生素治疗进行。本报告介绍了一名53岁患有糖尿病(DM)和甲状腺功能减退的女性,她在轻度创伤后因下肢疼痛和明显肿胀被转诊至我们的医疗中心。该患者因大肠杆菌感染被诊断为NF。她接受了清创手术干预和长期抗生素治疗。患者成功康复,髋部和膝部没有并发症或活动范围(ROM)受限。建议对NF病例立即采取行动,以保留剩余组织并提供更好的治疗效果。

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