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A successful treatment of necrotizing fasciitis following the surgery of distal radius plate removal: A case report and literature review

RATIONALE: Necrotizing fasciitis (NF) is defined as a rare, rapidly progressive, and highly lethal skin infection characterized by necrosis of the fascia and subcutaneous tissue. PATIENT CONCERNS: The present study aims to discuss the case of a 35-year-old man who developed NF following a routine st...

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Autores principales: Cai, Yuchen, Gan, Yaokai, Yu, Chao, Tang, Jian, Sun, Yuehua
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908577/
https://www.ncbi.nlm.nih.gov/pubmed/29642157
http://dx.doi.org/10.1097/MD.0000000000010305
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author Cai, Yuchen
Gan, Yaokai
Yu, Chao
Tang, Jian
Sun, Yuehua
author_facet Cai, Yuchen
Gan, Yaokai
Yu, Chao
Tang, Jian
Sun, Yuehua
author_sort Cai, Yuchen
collection PubMed
description RATIONALE: Necrotizing fasciitis (NF) is defined as a rare, rapidly progressive, and highly lethal skin infection characterized by necrosis of the fascia and subcutaneous tissue. PATIENT CONCERNS: The present study aims to discuss the case of a 35-year-old man who developed NF following a routine sterile right distal radius bone plate removal surgery. DIAGNOSES: The patient was suspected of NF based on his clinical manifestations, laboratory tests, and imaging results. The diagnosis of NF was confirmed by histological examinations. INTERVENTIONS: Serial prompt and extensive debridement was performed during the rapid and aggressive extension of the skin infection, together with antibiotics and supportive treatments. OUTCOMES: The condition of the patient finally improved on the sixth day of disease progression. Skin grafting of his right forearm wound was performed successfully 2 months after the admission. LESSONS: NF can occur during the perioperative period for routine clean radius plate removal operation in patients with no risk factor for NF. The objective is to remind the physicians to stay aware of this disease, especially its early clinical signs and symptoms. Urgent subsequent treatment, including surgical debridement, antibiotic therapy, and supporting management, is the key to ensure the survival and better prognosis of patients.
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spelling pubmed-59085772018-04-30 A successful treatment of necrotizing fasciitis following the surgery of distal radius plate removal: A case report and literature review Cai, Yuchen Gan, Yaokai Yu, Chao Tang, Jian Sun, Yuehua Medicine (Baltimore) 3900 RATIONALE: Necrotizing fasciitis (NF) is defined as a rare, rapidly progressive, and highly lethal skin infection characterized by necrosis of the fascia and subcutaneous tissue. PATIENT CONCERNS: The present study aims to discuss the case of a 35-year-old man who developed NF following a routine sterile right distal radius bone plate removal surgery. DIAGNOSES: The patient was suspected of NF based on his clinical manifestations, laboratory tests, and imaging results. The diagnosis of NF was confirmed by histological examinations. INTERVENTIONS: Serial prompt and extensive debridement was performed during the rapid and aggressive extension of the skin infection, together with antibiotics and supportive treatments. OUTCOMES: The condition of the patient finally improved on the sixth day of disease progression. Skin grafting of his right forearm wound was performed successfully 2 months after the admission. LESSONS: NF can occur during the perioperative period for routine clean radius plate removal operation in patients with no risk factor for NF. The objective is to remind the physicians to stay aware of this disease, especially its early clinical signs and symptoms. Urgent subsequent treatment, including surgical debridement, antibiotic therapy, and supporting management, is the key to ensure the survival and better prognosis of patients. Wolters Kluwer Health 2018-04-13 /pmc/articles/PMC5908577/ /pubmed/29642157 http://dx.doi.org/10.1097/MD.0000000000010305 Text en Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 3900
Cai, Yuchen
Gan, Yaokai
Yu, Chao
Tang, Jian
Sun, Yuehua
A successful treatment of necrotizing fasciitis following the surgery of distal radius plate removal: A case report and literature review
title A successful treatment of necrotizing fasciitis following the surgery of distal radius plate removal: A case report and literature review
title_full A successful treatment of necrotizing fasciitis following the surgery of distal radius plate removal: A case report and literature review
title_fullStr A successful treatment of necrotizing fasciitis following the surgery of distal radius plate removal: A case report and literature review
title_full_unstemmed A successful treatment of necrotizing fasciitis following the surgery of distal radius plate removal: A case report and literature review
title_short A successful treatment of necrotizing fasciitis following the surgery of distal radius plate removal: A case report and literature review
title_sort successful treatment of necrotizing fasciitis following the surgery of distal radius plate removal: a case report and literature review
topic 3900
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5908577/
https://www.ncbi.nlm.nih.gov/pubmed/29642157
http://dx.doi.org/10.1097/MD.0000000000010305
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