Zülfikar KARABULUT, Tarkan ERGUN, Hatice LAKADAMYALI, Haluk ERDOĞAN, Ege ÜNALÇIN, Gökhan MORAY

Omuz Travması Sonrası Gelişen Retroperitoneal Nekrotizan Yumuşak Doku İnfeksiyonu: Olgu Sunumu

Nekrotizan yumuşak doku infeksiyonları, cilt altı dokuların ve fasyanın nekrozu ile karakterize hızlı ilerleyen ve hayatı tehdit eden nadir infeksiyonlardır. Modern medikal tedavideki ilerlemelere rağmen retroperitoneal nekrotizan yumuşak doku infeksiyonlarının morbidite ve mortalitesi hala yüksektir. Tedavi prensipler erken tanı, tekrarlayan geniş debridmanlar, geniş spektrumlu antibiyotikler ve destek tedaviyi içerir. Bu olgu sunumunda omuz travması sonrasında gelişen ve retroperitoneal bölgeyi tutan nekrotizan yumuşak doku infeksiyonu tartıştık. Anahtar kelimeler: Retroperitoneal alan, İnfeksiyon, Cerrahi

Anahtar Kelimeler:

Retroperitoneal alan, İnfeksiyon, Cerrahi

Retroperitoneal Necrotizing Soft Tissue Infection Caused By A Shoulder Trauma: A Case Report

Necrotizing soft tissue infections are uncommon, rapidly progressive and life threatening characterized by subcutaneous tissue and fascial necrosis. Despite advances in modern medical therapy, the morbidity and mortality of retroperitoneal necrotizing soft tissue infections are still very high. Treatment principles include early diagnosis, repeated extensive debridement, broad spectrum antibiotics and supportive treatment. In this case report we discuss a necrotizing soft tissue infection involving retroperitoneal space after a shoulder trauma. Key words: Retroperitoneal space, Infection, Surgery

Keywords:

Retroperitoneal space, Infection, Surgery,

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Green RJ, Dafoe DC, Raffin TA. Necrotizing fasciitis. Chest. 1996; 110: 221-9.
Jayatunga AP, Caplan S, Paes TRF. Survival after retroperitoneal necrotizing fasciitis. Br J Surg. 1993; 80: 981.
Woodburn KR, Ramsay G, Gillespie, Miller DF. Retroperitoneal necrotizing fasciitis. Br J Surg. 1992; 79: 342-4.
Pryor JP, Piotrowski E, Seltzer CW, Gracias VH. Early diagnosis of retroperitoneal necrotizing fasciitis. Crit Care Med. 2001; 29: 1071-3.
Devin B, McCarthy A, Mehran R, Auger C. Necrotizing fasciitis of the retroperitoneum:An unusual presentation of grop A Streptococcus infection. Can J Surg. 1998; 41: 156-60.
Brook I, Frazier EH. Clinical and microbiological features of necrotizing fasciitis. J Clin Microbiol. 1995; 33: 282-7.
Wysoki MG, Santora TA, Shah RM, et al. Necrotizing fasciitis:CT characteristics. Radiology. 1997; 203: 859-63.
Charles NJ, Sadler MA. Necrotizing perineal fasciitis in two paraplegic nurisng- home residents: CT imaging findings. Abdom Imaging. 2001; 26: 443-6.
Paya K, Hayek BF, Rebhandl W, Pollack A, Horcher E. Retroperitoneal necrotizing fasciitis in a 4-year old girl. J Pediatr Surg. 1998; 33; 778-80.
Corresponding Author: Dr.Zülfikar KARABULUT Baskent University Alanya Medical Center Saray Mah.Yunus Emre Cad. No:1 Alanya/Antalya/TURKEY E-mail: drkarabulut33@yahoo.com GSM : 532 504 48 23 Fax : 242 511 23 50