Islam Shariful, Shah Aneela, Maughn Anthony, Dial Sarah, Mahabir Avidesh, Naraynsingh Vijay, Harnarayan Patrick
Department of General Surgery, Breast Unit, San Fernando General Hospital, San Fernando, Trinidad and Tobago.
Department of Clinical Surgical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago.
Case Rep Surg. 2023 Jul 20;2023:4695019. doi: 10.1155/2023/4695019. eCollection 2023.
Necrotizing soft tissue infection (NSTI) of the breast is an extremely rare event in surgical practice. It is considered the most aggressive form of soft tissue infection and a true surgical emergency. It is also associated with a high risk of mortality if not diagnosed promptly. Few cases have been documented in the literature; the exact etiology and risk factors vary from those involving the limbs, trunk, and perineum. Early recognition, prompt surgical treatment, and broad-spectrum antibiotic therapy are crucial for reducing morbidity and mortality. These reports present cases of NSTIs in breasts with unique etiologies and challenges in their management.
乳腺坏死性软组织感染（NSTI）在外科实践中是极为罕见的情况。它被认为是软组织感染最具侵袭性的形式，也是真正的外科急症。如果不能及时诊断，还会伴有高死亡率风险。文献中记录的病例很少；其确切病因和风险因素与涉及四肢、躯干和会阴的情况有所不同。早期识别、及时的手术治疗和广谱抗生素治疗对于降低发病率和死亡率至关重要。这些报告展示了具有独特病因及治疗挑战的乳腺NSTI病例。
