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Nekrotisierende Fasziitis – eine klinische Diagnose

Necrotizing fasciitis – a clinical diagnosis

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Zusammenfassung

Die nekrotisierende Fasziitis ist ein lebensbedrohliches Krankheitsbild, welches bei verzögerter Diagnostik und inadäquater Therapie zu Multiorganversagen und Tod führt. Wir berichten im Folgenden von einem 68-jährigen Patienten mit nekrotisierender Fasziitis des rechten Ellenbogens nach Bagatelltrauma und fulminantem septischem Verlauf mit Multiorganversagen und Langzeitbeatmung, dessen Leben und Extremität durch rechtzeitige Erstoperation und radikales Debridement erhalten werden konnte. Anhand dieses Fallberichtes werden die Besonderheiten der nekrotisierenden Fasziitis erläutert und ein Überblick über die aktuelle wissenschaftliche Literatur präsentiert.

Abstract

Necrotizing fasciitis is a life-threatening clinical pattern, which may lead to multi-organ failure and death with delayed diagnosis or inadequate treatment. We report on a 68-year old patient who developed necrotizing fasciitis of the right elbow with multiorgan failure and long-term ventilation after an accidental and minor injury. The patient survived as a result of an early diagnosis and surgical intervention. In this case report we want to clarify the diagnosis and treatment of necrotizing fasciitis and give an overview of the recent literature on the topic.

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Authors and Affiliations

  1. Klinik für Orthopädie und Unfallchirurgie, Evangelisches Krankenhaus Essen-Werden und Universitätsklinikum Essen, Hufelandstraße 55, 45147, Essen, Deutschland

    C. Scheid, M. Dudda &  M. Jäger

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  1. C. Scheid
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  2. M. Dudda
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  3. M. Jäger
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Correspondence to M. Jäger.

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Interessenkonflikt

C. Scheid, M. Dudda und M. Jäger geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren. Alle Patienten, die über Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts zu identifizieren sind, haben hierzu ihre schriftliche Einwilligung gegeben.

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Scheid, C., Dudda, M. & Jäger, M. Nekrotisierende Fasziitis – eine klinische Diagnose. Orthopäde 45, 1072–1079 (2016). https://doi.org/10.1007/s00132-016-3318-x

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