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[Post-traumatic necrotizing fasciitis].
E Puymirat1, S Garnier, J-F Parizano
1Service de réanimation, CHU Robert-Boulin, avenue de la Marne, 33505 Libourne, France. e_puymirat@msn.com <e_puymirat@msn.com>
Annales Francaises D'Anesthesie Et De Reanimation
|November 11, 2006
Summary
A minor elbow wound rapidly progressed to necrotizing fasciitis, leading to multivisceral failure. Prompt triple antibiotic therapy and surgical debridement were crucial for patient recovery.
Area of Science:
- Infectious Diseases
- Trauma Surgery
Background:
- Necrotizing fasciitis is a severe soft tissue infection.
- Risk factors include immunosuppression and trauma.
Observation:
- A 39-year-old male with alcohol and tobacco use sustained a minor elbow wound from a bicycle accident.
- The wound rapidly evolved into necrotizing fasciitis, complicated by heat shock and multivisceral failure.
Findings:
- The patient received triple antibiotic therapy (amoxicillin-clavulanic acid, ornidazole, levofloxacin) and underwent extensive surgical debridement.
- Despite the rapid progression and severity, the patient showed a slow but favorable recovery and is now in functional rehabilitation.
Implications:
- This case highlights the aggressive and rapid progression potential of necrotizing fasciitis, even from seemingly minor wounds.
- Emphasizes the critical importance of early diagnosis and aggressive, prompt therapeutic intervention, including antibiotics and surgical debridement, for favorable outcomes.
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