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Necrotising fasciitis of the thoracic wall: a rare case with favourable outcome
BMJ Case Reports Pub Date : 2021-03-01 , DOI: 10.1136/bcr-2020-238749
Rodrigo Athayde Nemésio 1, 2 , Ana Ruivo 3, 4 , Alexandre Monteiro 3 , José Guilherme Tralhão 3, 4
Affiliation  

Necrotising fasciitis (NF) is a severe infection of the subcutaneous tissue and fascia that can rapidly lead to sepsis and shock with high mortality rates. Its initial signs are often non-specific making it difficult for an early diagnosis to be reached. Nevertheless it is of the utmost importance to begin proper treatment including wide surgical debridement as soon as possible in order to avoid death. We present the case of a patient with NF of the thoracic wall which is a rare location for this disease but often associated with worse prognosis. Even though he progressed to septic shock within less than 24 hours of its presentation, due to early surgical management, aggressive resuscitation and intensive care support, he reached a favourable outcome. After three surgical revisions and 2 weeks in an intensive care unit, the patient was discharged from hospital 35 days after admission.

中文翻译:

胸壁坏死性筋膜炎:一例预后良好的罕见病例

坏死性筋膜炎 (NF) 是皮下组织和筋膜的严重感染,可迅速导致败血症和休克,死亡率很高。它的初始症状通常是非特异性的,因此很难进行早期诊断。然而,最重要的是尽快开始适当的治疗,包括广泛的手术清创术,以避免死亡。我们介绍了一名胸壁 NF 患者的病例,这是该病的罕见部位,但通常与较差的预后相关。尽管他在出现感染性休克后不到 24 小时内进展为感染性休克,但由于早期手术治疗、积极复苏和重症监护支持,他取得了良好的结果。经过三次手术修复和在重症监护室呆了 2 周后,
更新日期:2021-03-05
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