Negative pressure wound therapy and skin grafting for necrotizing fasciitis in a patient with rheumatoid arthritis treated with abatacept: A case report |
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| Authors: | Takeshi Mochizuki Katsunori Ikari Ryo Hiroshima Hiromitsu Takaoka Kosei Kawakami Naoko Koenuma |
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| Affiliation: | 1. Department of Orthopedic Surgery, Kamagaya General Hospital, Chiba, Japan and;2. Institute of Rheumatology, Tokyo Women’s Medical University, Tokyo, Japan |
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| Abstract: | Herein, we present a case of necrotizing fasciitis (NF) in a patient with rheumatoid arthritis (RA) treated with abatacept. Cultures of the patient’s leg effusion revealed group A Streptococcus. Treatment included antibiological drugs, repeat debridement, negative pressure wound therapy (NPWT), and skin grafting. This case highlights the need for suspicion of severe bacterial infection for early diagnosis and effective treatment. NF with RA can be treated effectively with repeat debridement and NPWT. |
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| Keywords: | Abatacept Necrotizing fasciitis Negative pressure wound therapy Rheumatoid arthritis |
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