Wang Tian-Yuan, Jiang Dong, Wang Wei, Chen Yin-Chen, Sun Jin-Shan, Sun Bo, Wang Ai-Ping, Chen Yue-Dong
Endocrinology Department, Diabetic Foot Center, Junxie Hospital, Nanjing.
Endocrinology Department, SIHONG Hospital, Suqian City, Jiangsu Province, China.
Ann Med Surg (Lond). 2023 Apr 11;85(5):1947-1951. doi: 10.1097/MS9.0000000000000463. eCollection 2023 May.
Necrotizing fasciitis (NF) represents a rapidly progressive, life-threatening infection involving the fascia and subcutaneous tissue. Early diagnosis and intervention are crucial to treat, especially in diabetic patients.
This case report presents on a patient with diabetes mellitus rapidly developed a NF of the upper extremities following a minor trauma in the palmar of greater thenar. In the initial stages of her hospital admission, severe hand soft tissue infection, and systemic toxicity is the most prominent clinical manifestation. During her hospitalization, efficacious multidisciplinary treatment was carried out to avoid severe consequences.
The objective of this case report is to present a successful individual strategy in a complex case to standardize the treatment process. Accurate and standardized management can improve the prognosis of patients affected from upper extremities NF of diabetic avoiding and severe complications and saving lives.
坏死性筋膜炎（NF）是一种累及筋膜和皮下组织的快速进展、危及生命的感染。早期诊断和干预对于治疗至关重要，尤其是在糖尿病患者中。
本病例报告介绍了一名糖尿病患者，在大鱼际掌部轻微创伤后迅速发展为上肢坏死性筋膜炎。在入院初期，严重的手部软组织感染和全身中毒是最突出的临床表现。在她住院期间，进行了有效的多学科治疗以避免严重后果。
本病例报告的目的是在一个复杂病例中展示一种成功的个体化策略，以规范治疗过程。准确和标准化的管理可以改善糖尿病上肢坏死性筋膜炎患者的预后，避免严重并发症并挽救生命。
