Elif ERTEN, Tuğba ÖRNEK DEMİR, Medine Ezgi ÖCAL, Süleyman Arif BOSTANCI, Can İhsan ÖZTORUN, Emrah ŞENEL

Tetanoz Aşısı Sonrası Nekrotizan Fasiit

Nekrotizan fasiit (NF), yüzeyel ve derin dokulara hızla ilerleyen nekroz ile karakterize nadir görülen bir enfeksiyondur. NF, yaşamı tehdit eden bir durum olarak ciddi morbidite ve mortaliteye neden olabilir. Mortaliteyi azaltmada en önemli faktörlerden biri erken tanıdır. Bu olgu sunumunda, tetanoz aşısı sonrası sol kolda şiddetli nekrotizan fasiit gelişen bir olguyu sunmayı ve literatür ışığında erken cerrahi tedavinin faydalarını tartışmayı amaçladık.

Anahtar Kelimeler:

Çocuk, Nekrotizan Fasit, tetanoz aşısı

Necrotizing Fasciitis Following Tetanus Vaccination

Necrotizing fasciitis (NF) is a rare infection that is characterized by rapidly progressing necrosis into the superficial and deep tissues. NF can result in serious morbidity and mortality as a life-threatening condition. Early diagnosis is one of the most important factors in reducing mortality. Therefore, we aimed to describe a case of severe necrotizing fasciitis in the left arm after tetanus vaccination administration and to discuss the benefits of early surgical management in the light of the literature.

Keywords:

Children, necrotizing fasciitis, tetanus vaccine,

PDF

___

Nawijn F, Kerckhoffs MC, van Heijl M, Keizer J, van Koperen PJ, Hietbrink F. Impact of Comorbidities on the Cause of Death by Necrotizing Soft Tissue Infections. Surg Infect (Larchmt). 2022 Sep 6. doi: 10.1089/sur.2022.135. Online ahead of print.
Noor A, Krilov LR. Necrotizing Fasciitis. Pediatr Rev 2021;42:573-5.
Sarani B, Strong M, Pascual J, Schwab CW. Necrotizing fasciitis: current concepts and review of the literature. J Am Coll Surg 2009;208:279-88.
Phelps JR, Fagan R, Pirela-Cruz MA. A case study of negative pressure wound therapy to manage acute necrotizing fasciitis. Ostomy Wound Manage 2006;52:54-9.
Watkins RR, David MZ. Approach to the Patient with a Skin and Soft Tissue Infection. Infect Dis Clin North Am 22021;35:1-48.
Rabuel V, Guillier D, Zwetyenga N, Moris V. Necrotizing fasciitis: A highly fatal infection. Ann Chir Plast Esthet 2022;S0294-1260(22)00111-X.
Butter A, Emran M, Al-Jazaeri A, Ouimet A. Vacuum-assisted closure for wound management in the pediatric population. J Pediatr Surg 2006:41:940-2.