Sztajnbok J, Sztajnbok S, Marotto P C, Seguro A C
Unidade de Terapia Intensiva do Instituto de Infectologia Emílio Ribas, São Paulo.
Rev Hosp Clin Fac Med Sao Paulo. 1998 Jan-Feb;53(1):34-8.
Necrotizing fasciits (NF) is a rapidly progressive disease characterized by extensive necrosis of the fascia, skin, and subcutaneous tissue, with characteristical sparing of the underlying muscle. It is considered to be a rare entity and is associated with a high mortality rate since early recognition and treatment are not provided. Extensive surgical debridement of all necrotic tissues and appropriate antimicrobial treatment are the cornerstones for a successful treatment. We present a case of NF in a 36-year-old man and discuss it's pathophysiology, clinical manifestations and the best therapeutic choice for this potential life threatening disease.
坏死性筋膜炎(NF)是一种快速进展的疾病,其特征是筋膜、皮肤和皮下组织广泛坏死,而深层肌肉通常不受影响。它被认为是一种罕见的疾病,由于未能早期识别和治疗,其死亡率很高。对所有坏死组织进行广泛的手术清创和适当的抗菌治疗是成功治疗的基石。我们报告一例36岁男性坏死性筋膜炎病例,并讨论其病理生理学、临床表现以及针对这种潜在危及生命疾病的最佳治疗选择。