Halit BAYKAN, Mehmet TATLI, Yasemin AY ALTINTOP, Aynur YURTSEVEN, İsmail ALTINTOP

ÖLÜMLE SONUÇLANAN NEKROTİZAN FASİİT

Amaç: Nekrotizan fasiit yumuşak doku ve fasyaları tutan, hayatı tehdit eden bir enfeksiyondur. Nadir görülmesine rağmen hızlı ilerleyen fasiyal nekroza ilerlediğinden yüksek ölüm riskine sahip olabilir. Hastamız acil servise sol dizinde şişme ve kızarıklık nedeniyle oluşan ağrı nedeniyle kabul edildi. Yapılan fizik muayenesinde sol diz fleksör yüzeyinde ısı artışı ile birlikte olan iki adet küçük ekimotik, büllöz lezyon ve hiperemi gözlendi. Venöz doppler tanıda nekrotizan fasiiti düşündürdü. Hastanın acil serviste takipleri esnasında bacağındaki kızarıklığın genişleyince plastik ve rekonstruktif cerrahı tarafından ameliyat edilmesine karar verildi. Ameliyat sonrası hasta yoğun bakımdaki yatışının 14. gününde sepsis nedeniyle kaybedildi. Nekrotizan fasiit nedeniyle ölümle sonuçlanan vakamızla ilgili tecrübelerimizi aktarmak amacıyla bu vakayı sunmayı amaçladık.

Fatal Necrotizing Fasciitis: A Case Report

Necrotizing fasciitis (NF) is a life-threatening infection of the subcutaneous tissue and fascia. Despite being rare, it could have a high death risk because it generally leads to rapid progressing fascial necrosis. Our patient was admitted to our emergency department (ED) due to pain of swollen and and erythematous lesion on flexor side of his left knee. Two small ecchymosed and bullous lesions and hyperemia with increased temperature were marked on physical examination. Venous doppler ultrasonography suggested the diagnosis as NF. During his evaluation in ED hyperemia on the leg reached such an amount so Plastic and Reconstructive Surgeon decided surgery on the leg. Post operation patient was examined in Intensive Care Unit and on 14th day of his stay he was deceased due to sepsis. We aimed to share our experience about necrotizing fasciitis finalized with death.

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