RESUMO
Necrotizing fasciitis is a rare bacterial infection with an incidence of approximately 0.4 cases per 100,000 population. Although the majority of cases of necrotizing fasciitis are polymicrobial, a systematic review of the literature found only 7 reports of Haemophilus influenzae as the causal agent, and only 1 incidence of H influenzae causing the infection in a healthy adult. This report documents the unusual case of necrotizing fasciitis in a healthy adult with a history of smoking as her only risk factor. The patient presented with a seemingly innocuous low-grade Lisfranc injury. Our case illustrates the importance of early diagnosis and aggressive surgical management and medical treatment of necrotizing fasciitis.
Assuntos
Fasciite Necrosante/microbiologia , Fasciite Necrosante/terapia , Traumatismos do Pé/complicações , Haemophilus influenzae/isolamento & purificação , Extremidade Inferior/microbiologia , Adulto , Antibacterianos/uso terapêutico , Desbridamento , Feminino , Traumatismos do Pé/terapia , Infecções por Haemophilus/microbiologia , Humanos , Reoperação , Transplante de PeleRESUMO
The operative management of acute Achilles tendon rupture marks the beginning of a comprehensive rehabilitation program. The goals of the rehabilitation program start with the reduction of pain and swelling and the recovery of ankle motion and power. They conclude with the restoration of coordinated activity and safe return to athletic activity. The rehabilitation protocol is directed by the injury and the quality of the repair, along with the patient's age, medical and social history, and athletic inclination. The protocol is dynamic and responsive to changing clinical findings.
