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一例老年患者中表现为类似烧伤的坏死性筋膜炎病例。

A Case of Necrotizing Fasciitis Mimicking a Burn in an Elderly Patient.

作者信息

Khan Madiha, Bhatia Shubham, Cervellione Kelly L, Louis Martine A

机构信息

New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.

Flushing Hospital Medical Center, Flushing, NY, USA.

出版信息

Case Rep Surg. 2023 Mar 25;2023:3786364. doi: 10.1155/2023/3786364. eCollection 2023.

Abstract

Necrotizing fasciitis travels along the fascial plane and surrounding soft tissue, leading to ischemia and necrosis. Fournier's gangrene is a type of necrotizing fasciitis invading the deep and superficial planes of the perineal/genital region. It is rapidly progressive in nature and may have life-threatening consequences. Fournier's often exhibits a misleading clinical presentation and can be mistaken for other conditions, such as hematoma, phlebitis, cellulitis, or septic arthritis. Since the ramifications of delayed diagnosis can be clinically significant, recognition of potential mimics is important to prevent morbidity or mortality. We report a case of Fournier's gangrene mimicking a second-degree burn, an exceedingly rare presentation.

摘要

坏死性筋膜炎沿筋膜平面及周围软组织蔓延,导致局部缺血和坏死。福尼尔坏疽是一种坏死性筋膜炎,侵犯会阴/生殖器区域的深层和浅层平面。其本质上进展迅速,可能产生危及生命的后果。福尼尔坏疽常表现出具有误导性的临床表现,可能被误诊为其他病症,如血肿、静脉炎、蜂窝织炎或化脓性关节炎。由于延迟诊断的后果在临床上可能很严重,识别潜在的相似病症对于预防发病或死亡很重要。我们报告一例表现为二度烧伤的福尼尔坏疽病例,这种表现极为罕见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed37/10066805/a676f52d3607/CRIS2023-3786364.001.jpg

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