Abstract
BackgroundToexploretheclinicaldiagnosisandtreatmentoffatalnecrotizingfasciitis.MethodsRetrospective analysis of simple data from January 1, 2014 to November 1, 2019, on the clinical data of the Department of Burns, Gansu Provincial People's Hospital, and the diagnosis and treatment methods were discussed.ResultsThe usual causes of necrosis and fasciitis are as follows. 1. Small trauma such as mosquito bites, pressure sores, and local trauma; 2. Patients suffering from minor trauma did not receive regular treatment in time, and only went to the hospital when local redness, pain, and dysfunction occurred, and were misdiagnosed as cellulitis;3. When a paraplegic patient has a Sacrococcygeal pressure ulcer and has whole-body fever or low-grade fever, and there is inflammation around the pressure ulcer, and redness and swelling spread to one lower limb or both lower limbs, necrotizing fasciitis should be highly suspected; 4. Patients’ wounds cannot be debrided in a timely and effective manner. Generally, inexperienced doctors have incomplete incision and drainage, which causes necrosis to continue to spread along the fascia to the distal limbs.Conclusion1. The diagnosis of necrotizing fasciitis mainly depends on clinical manifestations, and early diagnosis is the key; 2. When the patient has local trauma with local inflammation, and fever or hypothermia throughout the body, necrotizing fasciitis should be highly suspected, and the differential diagnosis should be made with cellulitis. When it is difficult to distinguish, a diagnostic surgical incision can be performed; 3. The operation should be thorough, fully cut and drained to avoid necrosis spreading to the distal limbs along the fascial space; 4. Necrotizing fasciitis should be systemic comprehensive treatment, rational use of antibiotics, correction of water and electrolyte disorders, early active and thorough debridement, and effective sealing of the wound.
Necrotizing Fasciitis by Two Anaerobic Bacteria in an Immunocompetent Patient after Minor Trauma: A Case Report
