Massive necrotizing fasciitis : a life threatening entity
Vilallonga, Ramon (Vall d'Hebron Institut de Recerca (VHIR))
Mazarro, Alejandro (Hospital Universitari Vall d'Hebron)
Rodríguez-Luna, María Rita (Institut d'Investigació Biomèdica Sant Pau)
Caubet, Enric (Vall d'Hebron Institut de Recerca (VHIR))
Fort, José Manuel (Endocrine Bariatric and Metabolic Unit)
Armengol Carrasco, Manuel (Vall d'Hebron Institut de Recerca (VHIR))
Guirao Garriga, Xavier (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))

Date:	2019
Abstract:	Necrotizing fasciitis (NF) is a complicated soft tissue infection frequently associated with severe sepsis if an early medical and surgical treatment is not performed. We report two postoperative cases of severe NF after oophorectomy and colorectal resection. Because of the similarity with more benign skin infections at the early steps, clinical suspicion is crucial. Surgical exploration and resection will provide both the diagnosis confirming necrotizing infection of the fascia with vessels and treatment. Also, empirical broad-spectrum antibiotics must be initiated as soon as possible. Regardless of the presence of risk factors, NF is a condition with a high mortality rate and only an expeditious and undelayed treatment may improve the patient's outcome. Surgical focus control requires wide and repeated resections, and planned reconstructive plastic surgery might be necessary.
Note:	Altres ajuts: The authors want to thank the Dr. Vilallonga Foundation for the financial support in the preparation of this article (http://www.fundacioramonvilallonga.org).
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Published in:	Journal of Surgical Case Reports, Vol. 2019 (november 2019) , ISSN 2042-8812

DOI: 10.1093/jscr/rjz269
PMID: 31719969

3 p, 486.3 KB

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Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Parc Taulí Research and Innovation Institute (I3PT
Research literature > UAB research groups literature > Research Centres and Groups (research output) > Health sciences and biosciences > Institut de Recerca Sant Pau
Articles > Research articles
Articles > Published articles