Necrotising fasciitis and traditional medical therapy-- a dangerous liaison
Annals of the Academy of Medicine, Singapore
;
: 270-273, 2006.
Artigo
em Inglês
| WPRIM
| ID: wpr-300115
ABSTRACT
<p><b>INTRODUCTION</b>Necrotising fasciitis is a disease associated with high morbidity and mortality, and multi-focal necrotising fasciitis is uncommon. We present 2 cases of concurrent necrotising fasciitis of contralateral upper and lower limbs.</p><p><b>CLINICAL PICTURE</b>Both presented with pain, swelling, bruising or necrosis of the affected extremities. Traditional medical therapy was sought prior to their presentation.</p><p><b>TREATMENT</b>After initial debridement, one patient subsequently underwent amputation of the contralateral forearm and leg. The other underwent a forearm amputation, but refused a below-knee amputation.</p><p><b>OUTCOME</b>The first patient survived, while the second died.</p><p><b>CONCLUSION</b>Traditional medical therapy can cause bacterial inoculation, leading to necrotising fasciitis, and also leads to delay in appropriate treatment. Radical surgery is needed to optimise patient survival.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Cirurgia Geral
/
Fatores de Risco
/
Evolução Fatal
/
Fasciite Necrosante
/
Desbridamento
/
Diagnóstico
/
Tratamento Farmacológico
/
Mãos
/
Amputação Cirúrgica
/
Perna (Membro)
Tipo de estudo:
Estudo diagnóstico
/
Estudo de etiologia
/
Fatores de risco
Limite:
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Annals of the Academy of Medicine, Singapore
Ano de publicação:
2006
Tipo de documento:
Artigo
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