Hosio Mayu, Shimizu Azusa, Mizuno Hiroshi
Department of Plastic and Reconstructive Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Department of Plastic Surgery, Toda Chuo General Hospital, Saitama, Japan.
J Plast Reconstr Surg. 2024 Oct 11;4(3):145-150. doi: 10.53045/jprs.2024-0012. eCollection 2025 Jul 27.
Necrotizing fasciitis is a rare, severe, life-threatening, and rapidly progressing infection characterized by necrosis of the fascia and subcutaneous tissue with systemic toxicity. In this study, we report a male patient with only controlled hypertension who was diagnosed with necrotizing fasciitis of his middle finger after sustaining a kitchen knife injury. Successful treatment involved amputating the third finger at the level of the medial proximal phalanx due to the severe and rapid progression of symptoms and the elevated risk of . and . causing necrotizing fasciitis, considering the patient's profession as a cook and his being immunocompetent. The patient was able to resume a working life after a short hospitalization without any severe complications. This is a reminder that even a minor injury can result in a life-threatening infection. Early surgical intervention saved the patient's life, eliminated the need for reoperation, and shortened the hospitalization.
坏死性筋膜炎是一种罕见、严重、危及生命且进展迅速的感染性疾病，其特征为筋膜和皮下组织坏死并伴有全身毒性。在本研究中，我们报告了一名仅患有控制良好的高血压的男性患者，他在遭受菜刀切割伤后被诊断为中指坏死性筋膜炎。鉴于症状严重且进展迅速，以及考虑到患者厨师的职业和免疫功能正常，坏死性筋膜炎导致……和……的风险升高，成功的治疗措施是在近节指骨中部水平截除第三指。患者在短期住院后能够恢复工作生活，未出现任何严重并发症。这提醒我们，即使是轻微损伤也可能导致危及生命的感染。早期手术干预挽救了患者生命，避免了再次手术的需要，并缩短了住院时间。
