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Ginecol Obstet Mex ; 82(1): 54-63, 2014 Jan.
Article in Spanish | MEDLINE | ID: mdl-24701861

ABSTRACT

OBJECTIVE: To report the case of postpartum vulvar necrotizing fasciitis diagnosis and management. CASE REPORT: A 16 year old woman with a history of vaginal delivery with episiotomy uncomplicated puerperium who presents in vulvar necrotizing fasciitis rapid progression to septic shock with spread to pelvis and abdomen. RESULTS: A CT scan at the level reported amount of gas vaginal labia. CONCLUSIONS: An early diagnosis, multidisciplinary treatment including extensive surgical management, appropriate antibiotic coverage and intensive care unit, are factors that improve the prognosis and reduce mortality.


Subject(s)
Fasciitis, Necrotizing/pathology , Pregnancy Complications, Infectious/pathology , Vulvar Diseases/pathology , Adolescent , Disease Progression , Fasciitis, Necrotizing/diagnosis , Fasciitis, Necrotizing/therapy , Female , Humans , Postpartum Period , Pregnancy , Pregnancy Complications, Infectious/diagnosis , Pregnancy Complications, Infectious/therapy , Prognosis , Shock, Septic/etiology , Shock, Septic/microbiology , Tomography, X-Ray Computed , Vulvar Diseases/microbiology , Vulvar Diseases/therapy
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