Multidisciplinary intensive care in extensive necrotizing fasciitis
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This is a case report of extensive necrotizing fasciitis (NF). A 65-year-old man presented with high fever, pain, swelling, and redness of the perineum, scrotum, and right lower limb. Based on the clinical symptoms and an imaging examination, a diagnosis of NF was made. The patient underwent an extensive exploration followed by daily bedside debridement. A diversion colostomy and six additional debridement procedures on the right thigh and perineum were subsequently performed. Although the patient had an eventful course, he recovered well under a multidisciplinary treatment regimen. The treatment and hospital course of the patient are described.
KeywordsNecrotizing fasciitis Soft tissue infection Klebsiella pneumoniae
We sincerely thank Hasan B. Alam, M.D., for kindly revising the original draft. We also thank Dr. Yi-zhou He for drawing the sketch map of the extensive necrotizing soft tissue infection. We would like to thank the patient who kindly supplied us with the vital information described herein.
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