坏死性筋膜炎1例

报告1例坏死性筋膜炎。患者女,57岁。右手背及上肢红肿热痛伴溢脓4d。切开引流见皮下组织及筋膜广泛坏死、液化。皮损组织病理检查示,纤维蛋白样坏死及大量中性粒细胞浸润,脓肿形成。患者乙肝病史多年,住院期间出现大量腹水。经抗生素治疗、局部清创、反复输新鲜血浆和白蛋白,病情稳定,后经植皮痊愈。     

坏死性筋膜炎4例报告

坏死性筋膜炎是由多种细菌混合感染引起的累及筋膜的急性坏死性炎症。现对我院收治的4例该病患者报告如下。     

坏死性筋膜炎1例报告

坏死性筋膜炎１例报告王克威（沪州医学院附属医院皮肤科，６４６０００）朱某某，女，６３岁，因左下肢突然出现大片水肿性红斑、水疱、血疱伴剧烈疼痛于１９９４年８月１５日入院。８月１３日病人感畏寒不适，服感冒冲剂后好转。次日左大腿内侧突然出现大片边界清楚的水...     

坏死性筋膜炎

坏死性筋膜炎姚健，何启红综述（四川泸州市人民医院，６４６０００）马华锋审校（沪州医学院附属医院皮肤科）坏死性筋膜炎（ＮｅｃｒｏｔｉｚｉｎｇＦａｓｃｉｉｔｉｓ，ＮＦ）是一种少见的以侵犯筋膜为主并可累及皮肤、皮下组织为特征的急性坏死性软组织感染。如诊治不...     

坏死性筋膜炎1例

报告1例具有典型症状的坏死性筋膜炎,患者女,70岁,皮损位于左臀部和左大腿,为显著性红斑,硬结、片状坏死,皮损有恶臭,组织中有产气现象,自觉疼痛剧烈,经组织病理检查确诊为坏死性筋膜炎,对患者施行清创术和对症支持治疗,包括消炎,镇痛和补液,获得令人满意的疗效。     

儿童坏死性筋膜炎1例

临床资料患儿,男,6岁。主因右股前内侧皮肤肿胀变黑伴发热11天,于2008年12月26日收住我院。患儿11天前右股前内侧出现直径2mm的白色水疱,     

绿脓杆菌所致坏死性筋膜炎1例

患者女性,25岁,1个月前两小腿及足背出现瘙痒性丘疹。剧烈搔抓后两足背出现深在潜行性溃疡,有较多分泌物及腥臭味。分泌物连续3次培养均为铜绿假单胞菌。经长程敏感抗生素全身应用、支持疗法及局部治疗,40天后溃疡愈合。     

水痘并发坏死性筋膜炎1例

1 病历摘要 患者男.19岁.因发热、全身出现丘疹和水疱3 d,于2008年3月10日就诊于我科.患者一般情况良好,体温37.8℃,周身散在水疱、丘疹,口腔黏膜见粟粒大糜烂.患者有水痘患者接触史,诊断为水痘,给予相应处理.3月14日患者复诊时发现躯干水疱干涸、结痂,部分水疱周围有红晕,背部皮肤局部红肿,有压痛.     

外用糖皮质激素致坏死性筋膜炎1例

患者男,30岁.近2年来因包皮及龟头反复出现红斑,自行长期外用复方康纳乐霜、复方曲安奈德霜(派瑞松)、皮炎平等多种复方糖皮质激素制剂治疗,病情时好时坏.半年前局部皮肤、黏膜损害进一步加重,面积不断扩大,延及会阴、腹股沟、大腿内侧及下腹部,并出现大面积皮肤坏死,大量脓液渗出.     

切痂植皮治愈婴儿坏死性筋膜炎1例

患儿男,11个月。发热11天、右臀部出现红肿9天。皮损渐扩大加重,出现腰背、臀部、右大腿皮肤片状坏死,质硬呈黑色。皮损组织病理符合坏死性筋膜炎。全麻下行坏死创面清除并予植皮,20天后治愈出院。     

Necrotizing fasciitis

Necrotizing fasciitis is an uncommon, rapidly spreading infection, affecting primarily the deep fascia, which may result in secondary necrosis of the subcutaneous tissue, fascia and muscle. We report a patient that had the cardinal features; namely, excruciatingly painful lesions, demonstration of gas in the tissue and an obnoxious foul odor, prominent erythema, induration, patchy necrosis, and loss of sensation in the left buttock and thigh. Its onset probably followed inadvertent trauma/injury of the left buttock. Corroborative microscopic pathology confirmed the diagnosis. Debridement and intensive supportive therapy comprising antibiotics, analgesics and fluids were given. The outcome of the therapy was gratifying.     

Necrotizing fasciitis and cardiac catheterization

Necrotizing fasciitis (NF) is an uncommon, life-threatening soft tissue infection characterized by rapidly spreading inflammation and necrosis of the skin, subcutaneous tissue, and fascia. We report a case of NF as a complication of cardiac catheterization. Familiarity with this entity may lead to earlier diagnosis and initiation of appropriate therapy.     

Necrotizing fasciitis: pathophysiology and treatment

Necrotizing fasciitis (NF) is a life-threatening bacterial infection causing necrosis of the fascia, underlying skin, and vasculature. NF spreads rapidly, making immediate diagnosis important for survival. Treatment may involve the administration of several broad-spectrum antibiotics, surgical debridement, and skin grafting. In the following two articles, the pathophysiology, medical management, and nursing care of patients are discussed. An in-depth model care plan illustrates the complexity of the disease and its treatment.     

Necrotizing fasciitis caused by Streptococcus pneumoniae

A 69-year-old woman presented with shivering and pain in the lower extremities on 5 April 2006; she was referred to the dermatology division of our hospital on the following day with difficulty in walking. She had been suffering from non-viral, non-alcoholic liver cirrhosis, and was being treated by the Division of Internal Medicine. Physical examination showed edema in the lower extremities and light purpuras on the groin and legs. Low blood pressure had been observed since admission. Necrotizing fasciitis (NF) was suspected on the basis of the skin symptoms, systemic conditions, and magnetic resonance imaging. During surgical debridement under general anesthesia, cardiopulmonary arrest occurred, and the patient died 12 h after admission. NF, in its early stages, exhibits few skin changes. In order to differentiate it from other skin infections, it is necessary to take into account blood pressure, abnormal systemic conditions, and severe pain out of proportion to its minor skin changes. In the present case, Streptococcus pneumoniae was detected by blood culture. Soft tissue infectious diseases caused by S. pneumoniae , especially NF, are very rare. We have reviewed reported cases of NF caused by S. pneumoniae .