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A case report of primary necrotising fasciitis of the breast: A rare but deadly entity requiring rapid surgical management

INTRODUCTION: Necrotising fasciitis of the breast is a rare entity with very few cases reported in the literature. It is rapidly progressive and can lead to sepsis and multi-organ failure without prompt medical and surgical management. PRESENTATION OF CASE: We describe a case of a non-diabetic 23-ye...

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Autores principales: Fayman, Kimberley, Wang, Kejia, Curran, Richard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5304239/
https://www.ncbi.nlm.nih.gov/pubmed/28189984
http://dx.doi.org/10.1016/j.ijscr.2017.01.049
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author Fayman, Kimberley
Wang, Kejia
Curran, Richard
author_facet Fayman, Kimberley
Wang, Kejia
Curran, Richard
author_sort Fayman, Kimberley
collection PubMed
description INTRODUCTION: Necrotising fasciitis of the breast is a rare entity with very few cases reported in the literature. It is rapidly progressive and can lead to sepsis and multi-organ failure without prompt medical and surgical management. PRESENTATION OF CASE: We describe a case of a non-diabetic 23-year-old female with primary necrotising fasciitis of the right breast. She presented in septic shock with gross breast discolouration and nipple discharge. Immediate resuscitation followed by muscle-sparing mastectomy within 3 h of her presentation was performed. She was managed postoperatively in intensive care. Complications included myocardial infarction and anuria requiring continuous renal replacement therapy. She eventually recovered with close to normal cardiac function and was discharged home after skin grafting of her mastectomy wound. CONCLUSION: This is the youngest patient with primary necrotising fasciitis of the breast described in the literature. Prompt resuscitation and an aggressive surgical approach are critical to the successful management of this life threatening pathology.
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spelling pubmed-53042392017-02-21 A case report of primary necrotising fasciitis of the breast: A rare but deadly entity requiring rapid surgical management Fayman, Kimberley Wang, Kejia Curran, Richard Int J Surg Case Rep Case Report INTRODUCTION: Necrotising fasciitis of the breast is a rare entity with very few cases reported in the literature. It is rapidly progressive and can lead to sepsis and multi-organ failure without prompt medical and surgical management. PRESENTATION OF CASE: We describe a case of a non-diabetic 23-year-old female with primary necrotising fasciitis of the right breast. She presented in septic shock with gross breast discolouration and nipple discharge. Immediate resuscitation followed by muscle-sparing mastectomy within 3 h of her presentation was performed. She was managed postoperatively in intensive care. Complications included myocardial infarction and anuria requiring continuous renal replacement therapy. She eventually recovered with close to normal cardiac function and was discharged home after skin grafting of her mastectomy wound. CONCLUSION: This is the youngest patient with primary necrotising fasciitis of the breast described in the literature. Prompt resuscitation and an aggressive surgical approach are critical to the successful management of this life threatening pathology. Elsevier 2017-01-23 /pmc/articles/PMC5304239/ /pubmed/28189984 http://dx.doi.org/10.1016/j.ijscr.2017.01.049 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Fayman, Kimberley
Wang, Kejia
Curran, Richard
A case report of primary necrotising fasciitis of the breast: A rare but deadly entity requiring rapid surgical management
title A case report of primary necrotising fasciitis of the breast: A rare but deadly entity requiring rapid surgical management
title_full A case report of primary necrotising fasciitis of the breast: A rare but deadly entity requiring rapid surgical management
title_fullStr A case report of primary necrotising fasciitis of the breast: A rare but deadly entity requiring rapid surgical management
title_full_unstemmed A case report of primary necrotising fasciitis of the breast: A rare but deadly entity requiring rapid surgical management
title_short A case report of primary necrotising fasciitis of the breast: A rare but deadly entity requiring rapid surgical management
title_sort case report of primary necrotising fasciitis of the breast: a rare but deadly entity requiring rapid surgical management
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5304239/
https://www.ncbi.nlm.nih.gov/pubmed/28189984
http://dx.doi.org/10.1016/j.ijscr.2017.01.049
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