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- Title
Laparoscopic treatment of a patient with multiple organ dysfunction syndrome induced by necrotising fasciitis.
- Authors
Li, Guangyao; Zhang, Yingyi; Sun, Tao; Zhou, Lin; Fan, Zhe
- Abstract
Necrotising fasciitis (NF) is an uncommon surgical emergency that threatens the life and health of patients. We report the treatment of a 76-year-old female patient with NF. The patient developed NF due to chronic poor glycaemic control, which further progressed to multiple organ dysfunction syndrome due to the severity of the hyperglycaemia. After resuscitation at the intensive care unit, surgical treatment was recommended and the patient underwent laparoscopic surgery. She had an uneventful post-operative recovery with aggressive anti-inflammatory therapy, glycaemic control and systemic nutritional support. There were no recurrences during the next 6 months of follow-up. NF should be diagnosed and treated as early as possible to gain valuable treatment time for the patient. Laparoscopic surgery is a treatment option.
- Subjects
ABDOMINAL abscess surgery; SOFT tissue infections; MYCOSES; RISK assessment; ANTI-inflammatory agents; WOUND healing; MICROBIAL sensitivity tests; GRAM-positive bacterial infections; MULTIPLE organ failure; LAPAROSCOPIC surgery; ABDOMINAL pain; EDEMA; GLYCEMIC control; COMPUTED tomography; TREATMENT effectiveness; GLASGOW Coma Scale; STREPTOCOCCUS; NECROTIZING fasciitis; HYPERGLYCEMIA; KLEBSIELLA infections; SEPSIS; ESCHERICHIA coli diseases; SUBCUTANEOUS emphysema; FOURNIER gangrene; GRAM-negative bacterial diseases; WOUND care; DIABETES; ABDOMINAL radiography; DIET therapy; DISEASE risk factors; DISEASE complications
- Publication
Journal of Wound Care, 2024, Vol 33, Issue Sup3a, plxxxi
- ISSN
0969-0700
- Publication type
Article
- DOI
10.12968/jowc.2024.33.Sup3a.lxxxi