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病例报告:一例罕见的同时发生的乳腺和前臂坏死性筋膜炎病例。

Case report: A rare case of simultaneous necrotizing fasciitis of the breast and forearm.

作者信息

Xu Ruofei, Fang Tingting, Cai Weikang

机构信息

Orthopedics Department, Longyou County People's Hospital, Longyou, China.

Dermatology Department, Longyou County People's Hospital, Longyou, China.

出版信息

Front Med (Lausanne). 2024 Jun 14;11:1413593. doi: 10.3389/fmed.2024.1413593. eCollection 2024.

Abstract

Necrotizing fasciitis is an aggressive bacterial infection that causes necrosis of the fascia and subcutaneous tissues with rapid progression and high mortality. Early stages often lead to misdiagnosis, resulting in improper treatment and severe implications. This case study presents a patient with diabetes mellitus combined with hepatitis B who rapidly developed necrotizing fasciitis of the left forearm and left breast after trauma and controlled the infection with early surgical treatment. It is worth noting that early surgical exploration is the gold standard for the diagnosis of necrotizing fasciitis and is the most effective means of reducing mortality and amputation rates in necrotizing fasciitis.

摘要

坏死性筋膜炎是一种侵袭性细菌感染,可导致筋膜和皮下组织坏死,进展迅速且死亡率高。早期阶段常导致误诊,从而导致治疗不当并产生严重后果。本病例研究介绍了一名患有糖尿病合并乙型肝炎的患者,该患者在创伤后迅速发展为左前臂和左乳房坏死性筋膜炎,并通过早期手术治疗控制了感染。值得注意的是,早期手术探查是诊断坏死性筋膜炎的金标准,也是降低坏死性筋膜炎死亡率和截肢率的最有效手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5c1/11211525/8c6712a841bd/fmed-11-1413593-g001.jpg

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