Multidisciplinary intensive care in extensive necrotizing fasciitis

作者:Tu Guo Wei; Hwabejire J O; Ju Min Jie; Yang Yuan Feng; Zhang Guang Jian; Xu Jian Wei; Xue Zhang Gang; Jiang C; Luo Z*
来源:Infection, 2013, 41(2): 583-587.
DOI:10.1007/s15010-012-0346-2

摘要

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.