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Infection

, Volume 41, Issue 2, pp 583–587 | Cite as

Multidisciplinary intensive care in extensive necrotizing fasciitis

  • Guo-Wei Tu
  • J. O. Hwabejire
  • Min-Jie Ju
  • Yuan-Feng Yang
  • Guang-Jian Zhang
  • Jian-Wei Xu
  • Zhang-Gang Xue
  • C. Jiang
  • Z. Luo
Case Report

Abstract

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.

Keywords

Necrotizing fasciitis Soft tissue infection Klebsiella pneumoniae 

Notes

Acknowledgments

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.

Conflict of interest

None.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Guo-Wei Tu
    • 1
  • J. O. Hwabejire
    • 2
  • Min-Jie Ju
    • 1
  • Yuan-Feng Yang
    • 3
  • Guang-Jian Zhang
    • 4
  • Jian-Wei Xu
    • 5
  • Zhang-Gang Xue
    • 1
  • C. Jiang
    • 4
  • Z. Luo
    • 1
  1. 1.Department of Anesthesiology and Surgical Intensive Care Unit, Zhongshan HospitalFudan UniversityShanghaiChina
  2. 2.Division of Trauma, Emergency Surgery and Surgical Critical Care, Department of Surgery, Massachusetts General HospitalHarvard Medical SchoolBostonUSA
  3. 3.Department of Urology, Zhongshan HospitalFudan UniversityShanghaiChina
  4. 4.Department of Orthopedics, Zhongshan HospitalFudan UniversityShanghaiChina
  5. 5.Department of Plastic and Reconstructive Surgery, Zhongshan HospitalFudan UniversityShanghaiChina

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