Kakkad Jasleen, Jain Shraddha, Reddy Venkat, Saboo Keyur, Naseri Suhit
Otolaryngology - Head and Neck Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
General Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jan 30;16(1):e53219. doi: 10.7759/cureus.53219. eCollection 2024 Jan.
Post-burn necrotizing fasciitis (PBNF) is a serious and potentially life-threatening infection that occurs after a burn injury. It is characterized by rapid destruction of soft tissue and muscle and is usually caused by a bacterial infection. Diabetic ketoacidosis (DKA) is another serious complication of diabetes, which can occur when the body does not have enough insulin to break down glucose for energy. This causes the body to start breaking down fat for energy instead, leading to various complications. The present study discusses the association between PBNF and DKA in a patient with diabetes. Here is a case of a post-auricular abscess and a precipitated DKA. The abscess was located near the site of the previous burn injury that happened 20 years ago and was believed to have developed as a result of thick scar tissue. The patient was given adequate hydration, intravenous antibiotics, and insulin therapy. However, the abscess continued to grow with increasing insulin requirements and the patient underwent incision and drainage to remove the infected tissue, and an aggressive debridement was carried out. Thus, this case highlights the importance of closely monitoring blood sugar levels in patients with a history of burn injury and diabetes, as well as the potential for infections to precipitate DKA. Timely intervention, including incision and drainage, can lead to successful resolution of symptoms and improved outcomes.
烧伤后坏死性筋膜炎（PBNF）是一种烧伤后发生的严重且可能危及生命的感染。其特征是软组织和肌肉迅速破坏，通常由细菌感染引起。糖尿病酮症酸中毒（DKA）是糖尿病的另一种严重并发症，当身体没有足够的胰岛素来分解葡萄糖以供能时就会发生。这会导致身体转而分解脂肪以供能，从而引发各种并发症。本研究探讨了一名糖尿病患者中PBNF与DKA之间的关联。这里有一个耳后脓肿并诱发DKA的病例。脓肿位于20年前发生的既往烧伤部位附近，据信是由于厚厚的瘢痕组织而形成的。患者接受了充分的补液、静脉抗生素治疗和胰岛素治疗。然而，随着胰岛素需求量增加，脓肿持续增大，患者接受了切开引流以清除感染组织，并进行了积极的清创。因此，该病例凸显了密切监测有烧伤和糖尿病病史患者血糖水平的重要性，以及感染诱发DKA的可能性。及时干预，包括切开引流，可导致症状成功缓解并改善预后。
