https://doi.org/10.4081/ijwc.2021.60
Necrotizing fasciitis: A case report and a review of the literature
Submitted: March 19, 2020
Accepted: March 30, 2021
Published: July 30, 2021
Accepted: March 30, 2021
Abstract Views: 1617
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PDF (Italiano): 242
PDF (Italiano): 242
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Necrotizing Fasciitis (NF) is a soft tissue infection characterized by extensive necrosis of subcutaneous fat, neurovascular structures and fascia. The characteristic of this case was aggression and rapid extension of the disease. A 59-years-old woman was observed in a very serious condition, with fever and a large necrotic area that smelled of the right inguinal-femoral region in extension to the thigh. No history of illness. Obesity. Diagnosis may be delayed due to minimal initial cutaneous cellulite. A delay in diagnosis can lead to the progression of the disease shown by shock, multiple organ failure and, ultimately, death. Computed tomography and Magnetic Resonance Imaging could be useful in cases where the signs are equivocal or the diagnosis is in doubt. A detailed review of the literature is presented and the current treatment modalities are described. In this case, the aggressive surgical debridement, the complete medical management of sepsis and comorbidities and the timely closure of the wound by dermo-epidermal grafting were essential for a positive result. NF is an uncommon life-threatening soft tissue infection, which spreads rapidly and progressively along the deep fascia. The prognosis depends on accurate diagnosis and immediate treatment.
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How to Cite
Petracca, G., Zappia, F., & Maccarone , G. (2021). Necrotizing fasciitis: A case report and a review of the literature. Italian Journal of Wound Care, 5(2). https://doi.org/10.4081/ijwc.2021.60
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