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由……引起的腹壁成形术后坏死性筋膜炎

Necrotizing Fasciitis after Panniculectomy Caused by .

作者信息

Breidung David, Delavari Sarina, Megas Ioannis-Fivos, Reichert Bert, Billner Moritz

机构信息

From the Department of Plastic, Reconstructive and Hand Surgery, Center for Severe Burn Injuries, Klinikum Nürnberg, Paracelsus Medical University, Nuremberg, Germany.

Department of Health Management, Friedrich Friedrich Alexander University Erlangen-Nuernberg (FAU), Erlangen, Germany.

出版信息

Plast Reconstr Surg Glob Open. 2024 Apr 29;12(4):e5773. doi: 10.1097/GOX.0000000000005773. eCollection 2024 Apr.

Abstract

Necrotizing fasciitis is a rare yet severe complication after body contouring surgery. We present a case of a 54-year-old woman with a complex medical history who developed necrotizing fasciitis 9 days after panniculectomy and epigastric hernia repair. Microbiological examination revealed as the causative agent, a rare pathogen in necrotizing fasciitis. Patients undergoing body contouring may be at increased risk of developing necrotizing fasciitis; therefore, increased attention should be paid to this differential diagnosis in case of postoperative signs of infection. This case report highlights the pivotal importance of early recognition, prompt surgical intervention, and comprehensive medical treatment to improve patient outcomes in necrotizing fasciitis.

摘要

坏死性筋膜炎是体型重塑手术后一种罕见但严重的并发症。我们报告一例54岁有复杂病史的女性患者,她在腹壁成形术和上腹疝修补术后9天发生了坏死性筋膜炎。微生物学检查发现 为病原体,这是坏死性筋膜炎中的一种罕见病原体。接受体型重塑手术的患者发生坏死性筋膜炎的风险可能增加;因此,术后出现感染迹象时应更加重视这种鉴别诊断。本病例报告强调了早期识别、及时手术干预和综合药物治疗对改善坏死性筋膜炎患者预后的关键重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/11057811/2c6f50eb08d8/gox-12-e5773-g001.jpg

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