Skip to main content
Top
Published in: Infection 2/2013

01-04-2013 | Case Report

Multidisciplinary intensive care in extensive necrotizing fasciitis

Authors: Guo-Wei Tu, J. O. Hwabejire, Min-Jie Ju, Yuan-Feng Yang, Guang-Jian Zhang, Jian-Wei Xu, Zhang-Gang Xue, C. Jiang, Z. Luo

Published in: Infection | Issue 2/2013

Login to get access

Abstract

This is a case report of extensive necrotizing fasciitis (NF). A 65-year-old man presented with high fever, pain, swelling, and redness of the perineum, scrotum, and right lower limb. Based on the clinical symptoms and an imaging examination, a diagnosis of NF was made. The patient underwent an extensive exploration followed by daily bedside debridement. A diversion colostomy and six additional debridement procedures on the right thigh and perineum were subsequently performed. Although the patient had an eventful course, he recovered well under a multidisciplinary treatment regimen. The treatment and hospital course of the patient are described.
Literature
1.
go back to reference de Tullio D, Rossi C, Bolzon S, Scagliarini L, Occhionorelli S. Necrotizing fasciitis: a surgical emergency. Updates Surg. 2010;62:83–7.PubMedCrossRef de Tullio D, Rossi C, Bolzon S, Scagliarini L, Occhionorelli S. Necrotizing fasciitis: a surgical emergency. Updates Surg. 2010;62:83–7.PubMedCrossRef
2.
go back to reference Sarani B, Strong M, Pascual J, Schwab CW. Necrotizing fasciitis: current concepts and review of the Literature. J Am Coll Surg. 2009;208:279–88.PubMedCrossRef Sarani B, Strong M, Pascual J, Schwab CW. Necrotizing fasciitis: current concepts and review of the Literature. J Am Coll Surg. 2009;208:279–88.PubMedCrossRef
3.
go back to reference Anaya DA, Dellinger EP. Necrotizing soft-tissue infection: diagnosis and management. Clin Infect Dis. 2007;44:705–10.PubMedCrossRef Anaya DA, Dellinger EP. Necrotizing soft-tissue infection: diagnosis and management. Clin Infect Dis. 2007;44:705–10.PubMedCrossRef
4.
go back to reference Awsakulsutthi S. A retrospective review of necrotizing fasciitis in Thammasat University Hospital. J Med Assoc Thai. 2010;93:S246–53.PubMed Awsakulsutthi S. A retrospective review of necrotizing fasciitis in Thammasat University Hospital. J Med Assoc Thai. 2010;93:S246–53.PubMed
5.
go back to reference Chiang SR, Chuang YC. Vibrio vulnificus infection: clinical manifestations, pathogenesis, and antimicrobial therapy. J Microbiol Immunol Infect. 2003;36:81–8.PubMed Chiang SR, Chuang YC. Vibrio vulnificus infection: clinical manifestations, pathogenesis, and antimicrobial therapy. J Microbiol Immunol Infect. 2003;36:81–8.PubMed
6.
7.
8.
go back to reference Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R, et al. Surviving sepsis campaign: International guidelines for the management of severe sepsis and septic shock: 2008. Crit Care Med. 2008;36:296–327.PubMedCrossRef Dellinger RP, Levy MM, Carlet JM, Bion J, Parker MM, Jaeschke R, et al. Surviving sepsis campaign: International guidelines for the management of severe sepsis and septic shock: 2008. Crit Care Med. 2008;36:296–327.PubMedCrossRef
9.
go back to reference Mohr JF 3rd. Update on the efficacy and tolerability of meropenem in the treatment of serious bacterial infections. Clin Infect Dis. 2008;47:S41–51.PubMedCrossRef Mohr JF 3rd. Update on the efficacy and tolerability of meropenem in the treatment of serious bacterial infections. Clin Infect Dis. 2008;47:S41–51.PubMedCrossRef
10.
go back to reference Ulivieri S, Toninelli S, Petrini C, Giorgio A, Oliveri G. Prevention of post-operative infections in spine surgery by wound irrigation with a solution of povidone-iodine and hydrogen peroxide. Arch Orthop Trauma Surg. 2011;131:1203–6.PubMedCrossRef Ulivieri S, Toninelli S, Petrini C, Giorgio A, Oliveri G. Prevention of post-operative infections in spine surgery by wound irrigation with a solution of povidone-iodine and hydrogen peroxide. Arch Orthop Trauma Surg. 2011;131:1203–6.PubMedCrossRef
11.
go back to reference Sutherland R, Boon RJ, Griffin KE, Masters PJ, Slocombe B, White AR. Antibacterial activity of mupirocin (pseudomonic acid), a new antibiotic for topical use. Antimicrob Agents Chemother. 1985;27:495–8.PubMedCrossRef Sutherland R, Boon RJ, Griffin KE, Masters PJ, Slocombe B, White AR. Antibacterial activity of mupirocin (pseudomonic acid), a new antibiotic for topical use. Antimicrob Agents Chemother. 1985;27:495–8.PubMedCrossRef
12.
go back to reference McHenry CR, Piotrowski JJ, Petrinic D, Malangoni MA. Determinants of mortality for necrotizing soft-tissue infections. Ann Surg. 1995;221:558–63. (discussion pp 563–55).PubMedCrossRef McHenry CR, Piotrowski JJ, Petrinic D, Malangoni MA. Determinants of mortality for necrotizing soft-tissue infections. Ann Surg. 1995;221:558–63. (discussion pp 563–55).PubMedCrossRef
13.
go back to reference Lille ST, Sato TT, Engrav LH, Foy H, Jurkovich GJ. Necrotizing soft tissue infections: obstacles in diagnosis. J Am Coll Surg. 1996;182:7–11.PubMed Lille ST, Sato TT, Engrav LH, Foy H, Jurkovich GJ. Necrotizing soft tissue infections: obstacles in diagnosis. J Am Coll Surg. 1996;182:7–11.PubMed
14.
go back to reference Wong CH, Chang HC, Pasupathy S, Khin LW, Tan JL, Low CO. Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality. J Bone Joint Surg Am. 2003;85:1454–60.PubMed Wong CH, Chang HC, Pasupathy S, Khin LW, Tan JL, Low CO. Necrotizing fasciitis: clinical presentation, microbiology, and determinants of mortality. J Bone Joint Surg Am. 2003;85:1454–60.PubMed
15.
go back to reference Elliott DC, Kufera JA, Myers RA. Necrotizing soft tissue infections. Risk factors for mortality and strategies for management. Ann Surg. 1996;224:672–83.PubMedCrossRef Elliott DC, Kufera JA, Myers RA. Necrotizing soft tissue infections. Risk factors for mortality and strategies for management. Ann Surg. 1996;224:672–83.PubMedCrossRef
16.
go back to reference File TM Jr. Tan JS, DiPersio JR. Group A streptococcal necrotizing fasciitis. Diagnosing and treating the “flesh-eating bacteria syndrome”. Cleve Clin J Med. 1998;65:241–9.PubMed File TM Jr. Tan JS, DiPersio JR. Group A streptococcal necrotizing fasciitis. Diagnosing and treating the “flesh-eating bacteria syndrome”. Cleve Clin J Med. 1998;65:241–9.PubMed
Metadata
Title
Multidisciplinary intensive care in extensive necrotizing fasciitis
Authors
Guo-Wei Tu
J. O. Hwabejire
Min-Jie Ju
Yuan-Feng Yang
Guang-Jian Zhang
Jian-Wei Xu
Zhang-Gang Xue
C. Jiang
Z. Luo
Publication date
01-04-2013
Publisher
Springer-Verlag
Published in
Infection / Issue 2/2013
Print ISSN: 0300-8126
Electronic ISSN: 1439-0973
DOI
https://doi.org/10.1007/s15010-012-0346-2

Other articles of this Issue 2/2013

Infection 2/2013 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.