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A Patient with Acute Necrotizing Fasciitis after a Total Knee Replacement: A Case Report
Necrotizing fasciitis is a relatively rare and serious fatal soft-tissue infection that is characterized by a rapidly spreading bacterial infection located in the subcutaneous tissues. We report a 59-year-old man who was diagnosed with acute necrotizing fasciitis, following a primary total knee repl...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10046916/ https://www.ncbi.nlm.nih.gov/pubmed/36980433 http://dx.doi.org/10.3390/diagnostics13061125 |
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author | Chang, Shu-Hao Jiang, Ching-Chuan Liu, Tom J. Kuo, Yu-Feng Yeh, Ping-Chun |
author_facet | Chang, Shu-Hao Jiang, Ching-Chuan Liu, Tom J. Kuo, Yu-Feng Yeh, Ping-Chun |
author_sort | Chang, Shu-Hao |
collection | PubMed |
description | Necrotizing fasciitis is a relatively rare and serious fatal soft-tissue infection that is characterized by a rapidly spreading bacterial infection located in the subcutaneous tissues. We report a 59-year-old man who was diagnosed with acute necrotizing fasciitis, following a primary total knee replacement. He received primary total knee replacement that was uneventful and smooth intraoperatively. An immediate high fever was reported in the next few days, with several complications, confirming a diagnosis of necrotizing fasciitis. The most effective treatment for this disease is a rapid primary diagnosis and surgical debridement. Gold standard treatment includes intravenous therapy, such as antibiotics, surgical debridement, and intensive care. As a result of possible GI complications that triggered necrotizing fasciitis, the patient underwent flap reconstruction. This report’s aim is to review the comprehensive treatment, management, and experience of necrotizing fasciitis, highlighting the roles with a multidisciplinary care team for improving the condition of this patient. |
format | Online Article Text |
id | pubmed-10046916 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100469162023-03-29 A Patient with Acute Necrotizing Fasciitis after a Total Knee Replacement: A Case Report Chang, Shu-Hao Jiang, Ching-Chuan Liu, Tom J. Kuo, Yu-Feng Yeh, Ping-Chun Diagnostics (Basel) Interesting Images Necrotizing fasciitis is a relatively rare and serious fatal soft-tissue infection that is characterized by a rapidly spreading bacterial infection located in the subcutaneous tissues. We report a 59-year-old man who was diagnosed with acute necrotizing fasciitis, following a primary total knee replacement. He received primary total knee replacement that was uneventful and smooth intraoperatively. An immediate high fever was reported in the next few days, with several complications, confirming a diagnosis of necrotizing fasciitis. The most effective treatment for this disease is a rapid primary diagnosis and surgical debridement. Gold standard treatment includes intravenous therapy, such as antibiotics, surgical debridement, and intensive care. As a result of possible GI complications that triggered necrotizing fasciitis, the patient underwent flap reconstruction. This report’s aim is to review the comprehensive treatment, management, and experience of necrotizing fasciitis, highlighting the roles with a multidisciplinary care team for improving the condition of this patient. MDPI 2023-03-16 /pmc/articles/PMC10046916/ /pubmed/36980433 http://dx.doi.org/10.3390/diagnostics13061125 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Interesting Images Chang, Shu-Hao Jiang, Ching-Chuan Liu, Tom J. Kuo, Yu-Feng Yeh, Ping-Chun A Patient with Acute Necrotizing Fasciitis after a Total Knee Replacement: A Case Report |
title | A Patient with Acute Necrotizing Fasciitis after a Total Knee Replacement: A Case Report |
title_full | A Patient with Acute Necrotizing Fasciitis after a Total Knee Replacement: A Case Report |
title_fullStr | A Patient with Acute Necrotizing Fasciitis after a Total Knee Replacement: A Case Report |
title_full_unstemmed | A Patient with Acute Necrotizing Fasciitis after a Total Knee Replacement: A Case Report |
title_short | A Patient with Acute Necrotizing Fasciitis after a Total Knee Replacement: A Case Report |
title_sort | patient with acute necrotizing fasciitis after a total knee replacement: a case report |
topic | Interesting Images |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10046916/ https://www.ncbi.nlm.nih.gov/pubmed/36980433 http://dx.doi.org/10.3390/diagnostics13061125 |
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