scholarly journals Facial reconstruction with extended supraclavicular flap after necrotizing fasciitis: Case report

2021 ◽  
Vol 6 (11) ◽  
pp. 43-59
Author(s):  
Kaio Danilo Leite da Silva Rocha ◽  
Victor Hugo Melo Carvalho ◽  
Pedro Ivo Martins Cidade ◽  
Allan Sávio Soares Macedo ◽  
Maria Isabel Fernandes Peixoto Furtado ◽  
...  
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Facial Reconstruction ◽  
Supraclavicular Flap

Este relato de caso descreve um caso clínico de fasceíte necrotizante de face submetida a tratamento cirúrgico para reconstrução facial utilizando retalho supraclavicular estendido. Uma das abordagens para reconstrução facial é a utilização de retalho expandido, autonomizado. Realizou-se o controle infeccioso da lesão com antibioticoterapia ampla e desbridamentos cirúrgicos de todo tecido necrótico, procede-se a cirurgia reparadora, primeiramente com preparo do retalho e posterior transferência de pele supraclavicular estendida para o local afetado. Este relato evidencia um caso raro e enfatiza a importância do diagnóstico precoce, da abordagem cirúrgica realizada com brevidade e do sucesso com reparação utilizando o retalho supraclavicular autonomizado. O retalho supraclavicular expandido é uma excelente opção para reconstrução da face em pacientes em que foram removidas extensas áreas de pele, pois apresentaram boa vascularização e aspecto estético adequado no pós-operatório.   Palavras-chave:  Retalhos autonomizados, reconstrução facial, retalho supraclavicular, cirurgia reconstrutiva, retalho cirúrgico.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

scholarly journals Sonographic exploration for fascial exploration (SEFE) in necrotizing fasciitis: a case report

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Jessica Fozard ◽  
Krystle Shafer ◽  
Thompson Kehrl
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis

Necrotizing Fasciitis Occurred in the Lymphedematous leg

2021 ◽  
pp. 153473462110230
Author(s):  
Hisako Hara ◽  
Makoto Mihara ◽  
Takeshi Todokoro
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Lower Limb ◽  
Gynecologic Cancer ◽  
Vital Signs ◽  
Ethics Committee ◽  
Secondary Lymphedema ◽  
Delayed Treatment ◽  
Institutional Ethics ◽  
Life Threatening

Lymphedema is a chronic edema that sometimes occurs after treatment of gynecologic cancer, and cellulitis often occurs concomitantly with lymphedema. On the other hand, necrotizing fasciitis (NF) is a relatively rare, but life-threatening disease. The symptoms in cellulitis and NF are very similar. In this case report, we describe a case in which the diagnosis of NF in a lymphedematous limb was difficult. A 70-year-old woman had secondary lymphedema in bilateral legs and consulted our department. On the first day of lymphedema therapy, the patient complained of vomiting, diarrhea, and fever (37.7 °C) without local fever in the legs. She was diagnosed with acute gastroenteritis. On the next day, swelling and pain in her left leg occurred and her blood pressure was 59/44 mmHg. She was diagnosed with cellulitis accompanied by lower limb lymphedema and septic shock. On the second day, blisters appeared on the left leg, and computed tomography showed NF. We performed debridement under general anesthesia and her vital signs improved postoperatively. Streptococcus agalactiae (B) was detected in blood culture, and we administered bixillin and clindamycin. Postoperatively, necrosis in the skin and fat around the left ankle gradually spread, and it took 5 months to complete epithelialization. The diagnosis was more difficult than usual NF because patients with lymphedema often experience cellulitis. Clinicians should always think of NF to avoid mortality due to delayed treatment. This case report was approved by the institutional ethics committee.

Pseudomonas aeruginosa necrotizing fasciitis: a case report

1998 ◽  
Vol 37 (2) ◽  
pp. 188-190 ◽  
Author(s):  
A.A. Tsekouras ◽  
A. Johnson ◽  
G. Miller ◽  
H.I. Orton
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Case Report ◽  
Necrotizing Fasciitis

scholarly journals The relevance of a fast and early diagnosis of necrotizing fasciitis in the Emergency Department: a case report

2016 ◽  
Vol 10 ◽  
Author(s):  
Marianna Gregorio ◽  
Antonio Villa
Keyword(s):  
Diabetes Mellitus ◽  
Emergency Department ◽  
Case Report ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Multiorgan Failure ◽  
Left Thigh ◽  
Popliteal Fossa ◽  
Leg Pain ◽  
Movement Limitation

We report a case of necrotizing fasciitis in an 84 year-old man affected by diabetes mellitus. The patient was admitted in the Emergency Department of our hospital because of an acute and strong left leg pain that began almost 8 hours before admission. The left leg had an increased size and a movement limitation, with a hard haemathoma in the left thigh with subcutaneous crepitus. The lesion became worse and larger rapidly, with a wide extension from the back to the popliteal fossa. An antimicrobial therapy was immediately started with morphine for pain. A surgical debridment was performed, but the patient died for multiorgan failure. Necrotizing fasciitis is a rare and mortal disease, the early diagnosis is a challenge for the Emergency Department where patients are admitted and assessed primarly.

scholarly journals Necrotizing Fasciitis of the Breast: A Case Report and Literature Review

2019 ◽  
Vol 10 (9) ◽  
pp. 288-292
Author(s):  
Neesa Fadaee ◽  
Michelle Ong ◽  
Mohammed Al-Askari
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Necrotizing Fasciitis
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