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使用糖敷料成功治愈一名18个月大女孩的耻骨上和腹股沟坏死性筋膜炎:病例报告

Successful healing of a suprapubic and inguinal necrotizing fasciitis in an 18-month-old girl using sugar dressings: A case report.

作者信息

Muyisa Roland, Watumwa Emile, Pendeza Charmante, Makelele Angelique, Maha Marina, Kalondero Pascal

机构信息

Medicine, Catholic University of the Graben, Butembo, North Kivu, Congo.

Pharmacy, Catholic University of the Graben, Butembo, North Kivu, Congo.

出版信息

Urol Case Rep. 2025 May 19;61:103073. doi: 10.1016/j.eucr.2025.103073. eCollection 2025 Jul.

DOI:10.1016/j.eucr.2025.103073
PMID:40496183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12151249/
Abstract

Necrotizing fasciitis (NF) is a severe infection, rare in pediatrics, often challenging to diagnose. An 18-month-old girl presented with fever and swelling after a minor cut. Over six days, her condition worsened, leading to the diagnosis of NF. Surgical debridement revealed extensive necrosis. After intensive care with sugar dressings and broad-spectrum antibiotics, her wound improved significantly. She was discharged after 21 days, emphasizing the importance of hygiene and timely medical care.

摘要

坏死性筋膜炎(NF)是一种严重感染,在儿科中较为罕见,诊断往往具有挑战性。一名18个月大的女孩在轻微割伤后出现发热和肿胀。在六天时间里,她的病情恶化,最终被诊断为坏死性筋膜炎。手术清创显示有广泛坏死。在使用糖敷料和广谱抗生素进行重症监护后,她的伤口明显好转。21天后她出院,这凸显了卫生和及时就医的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/815f/12151249/2bcd0e0b4b97/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/815f/12151249/6a1c90c9861e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/815f/12151249/2bcd0e0b4b97/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/815f/12151249/6a1c90c9861e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/815f/12151249/2bcd0e0b4b97/gr2.jpg

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本文引用的文献

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Fournier's gangrene reconstruction: A 10-year retrospective analysis of practice at Guys and St Thomas's NHS Foundation Trust.Fournier 坏疽的重建:英国盖伊和圣托马斯 NHS 基金会信托的 10 年回顾性分析。
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Fournier's gangrene in an eight-day-old male neonate, a case report.一名8日龄男婴的福尼尔坏疽:病例报告
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Severe bacterial skin infections.
严重细菌性皮肤感染。
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Necrotising fasciitis in a ten month old infant.一名10个月大婴儿的坏死性筋膜炎
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