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[Multifocal necrotizing fasciitis: presentation of a case]
E Navarro-Cano1, D Noriego-Muñoz1
1Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Dr. Josep Trueta, Girona, España.
Revista Espanola De Cirugia Ortopedica Y Traumatologia
|September 28, 2013
Summary
Multifocal necrotizing fasciitis, a rare condition affecting multiple body areas, requires aggressive treatment. Early surgical debridement and broad-spectrum antibiotics are crucial for patient survival.
Area of Science:
- Infectious Diseases
- Surgical Pathology
Background:
- Multifocal necrotizing fasciitis involves multiple, distinct affected body areas.
- It often arises from the spread of septic emboli.
Observation:
- A 67-year-old patient on corticosteroids presented with septic shock and rapidly progressing necrotizing fasciitis in all four limbs post-colon surgery.
- Emergency fasciotomies were performed on all limbs with empirical antibiotic therapy initiated.
Findings:
- The patient showed improvement following surgical debridement.
- Wound cultures were negative seven days post-debridement, with primary closure achieved.
Implications:
- Management of multifocal necrotizing fasciitis lacks consensus due to its rarity.
- Prompt, aggressive surgical intervention (debridement, fasciotomy, potential amputation) combined with broad-spectrum antibiotics is vital for treatment.
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