Tratamiento de la fascitis necrosante por E. Coli mediante desbridamiento quirúrgico y terapia Vac®, a propósito de un caso / Treatment of necrotizing fasciitis caused by E. Coli with surgical debridement and vacuum assisted therapy (Vac®), case report
Cir. plást. ibero-latinoam
; 37(supl.1): s19-s24, dic. 2011. ilus
Article
in Spanish
| IBECS
| ID: ibc-105053
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
La fascitis necrosante es una rara infección de tejidos blandos con una alta tasa de morbi-mortalidad. Presentamos el caso de una paciente de 44 años diagnosticada defascitis necrosante por E. coli en el contexto clínico de inmunosupresión por trasplante renal. Logramos un tratamiento exitoso mediante la asociación de desbridamiento quirúrgico, antibioticoterapia intravenosa y curas con terapia de presión negativa (VAC ®), seguido de injertos autólogos de piel parcial. Remarcamos las ventajas clínicas de la terapia de presión negativa en el manejo y curación de heridas complejas (AU)
ABSTRACT
Necrotizing fasciitis is a rare soft tissue infection which presents a high rate of morbi- mortality. We describe the case of a 44 years old patient diagnosed with necrotizing fasciitis caused by E. coli, in the context of immunosuppression due to renal transplantation. Successful treatment was achieved by combining surgical debridement, intravenous antibiotic treatment and vacuum assisted closure therapy (VAC ®) completed by autologous split skin grafts. We stress the clinical benefits of subatmospheric pressure therapy in the management and healing of complex wounds (AU)
Full text:
Available
Collection:
National databases
/
Spain
Health context:
Neglected Diseases
Health problem:
Neglected Diseases
/
Zoonoses
Database:
IBECS
Main subject:
Fasciitis, Necrotizing
/
Debridement
Limits:
Humans
Language:
Spanish
Journal:
Cir. plást. ibero-latinoam
Year:
2011
Document type:
Article
Institution/Affiliation country:
Hospital Universitario Miguel Servet/España