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Multidisciplinary intensive care in extensive necrotizing fasciitis

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An Erratum to this article was published on 27 November 2012

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.

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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.

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Authors and Affiliations

  1. Department of Anesthesiology and Surgical Intensive Care Unit, Zhongshan Hospital, Fudan University, 180 Fenglin Rd, 200032, Shanghai, China

    Guo-Wei Tu, Min-Jie Ju, Zhang-Gang Xue & Z. Luo

  2. Division of Trauma, Emergency Surgery and Surgical Critical Care, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    J. O. Hwabejire

  3. Department of Urology, Zhongshan Hospital, Fudan University, Shanghai, China

    Yuan-Feng Yang

  4. Department of Orthopedics, Zhongshan Hospital, Fudan University, Shanghai, China

    Guang-Jian Zhang & C. Jiang

  5. Department of Plastic and Reconstructive Surgery, Zhongshan Hospital, Fudan University, Shanghai, China

    Jian-Wei Xu

Authors
  1. Guo-Wei Tu
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  2. J. O. Hwabejire
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  3. Min-Jie Ju
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  4. Yuan-Feng Yang
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  5. Guang-Jian Zhang
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  6. Jian-Wei Xu
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  7. Zhang-Gang Xue
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  8. C. Jiang
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  9. Z. Luo
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Corresponding authors

Correspondence to C. Jiang or Z. Luo.

Additional information

G.-W. Tu, J. O. Hwabejire and M.-J. Ju have contributed equally to this article.

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Tu, GW., Hwabejire, J.O., Ju, MJ. et al. Multidisciplinary intensive care in extensive necrotizing fasciitis. Infection 41, 583–587 (2013). https://doi.org/10.1007/s15010-012-0346-2

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  • DOI: https://doi.org/10.1007/s15010-012-0346-2

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