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Rev Pneumol Clin ; 63(4): 273-6, 2007 Sep.
Artigo em Francês | MEDLINE | ID: mdl-17978740

RESUMO

INTRODUCTION: Necrotizing fasciitis is a rapidly progressive and often fatal infection of the soft-tissue fascia deep to the skin but superficial to the muscles. We report a case of necrotizing fasciitis of the anterior chest wall complicating a percutaneous needle biopsy. CASE: A 49-year-old diabetic patient, presented persistent excavated right pulmonary opacities. A percutaneous biopsy was obtained and complicated by a necrotizing fasciitis. The patient underwent surgery for total resection of the necrotic tissues followed by antibiotic treatment. Outcome was favorable after 30 days of antibiotic therapy. DISCUSSION: Necrotizing fasciitis is a life threatening complication of transthoracic percutaneous biopsy. Prognosis depends on rapid diagnosis and treatment.


Assuntos
Biópsia por Agulha/efeitos adversos , Fasciite Necrosante/etiologia , Antibacterianos/uso terapêutico , Complicações do Diabetes , Fasciite Necrosante/tratamento farmacológico , Feminino , Humanos , Pessoa de Meia-Idade , Pneumonia Bacteriana/diagnóstico , Infecções Estreptocócicas/diagnóstico , Streptococcus constellatus/isolamento & purificação , Tórax , Resultado do Tratamento
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