Necrotizing Fasciitis Of Lower Limb In 4 Patients

M. Lawson, E. Lawson, A. H. Akué, F. Atadokpede
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Abstract

The necrotizing fasciitis of limbs is a toxic severe infection who can compromise functional and vital prognosis. We report 4 cases of the lower limb. It was about 2 men and 2 women with an average age of 65,25 years. We have found a skin injury for all the patients but the germs were isolated for only two of them. The medical treatment consisted in antibiotics and analgesics administration. The surgical one consisted in the wide ablation of necrotic tissues for three patients and an amputation in the thigh for the fourth. Two patients have got a good evolution and received a skin graft. For the last patient, the extension of necrosis have obliged to amputate in the thigh. The necrotizing fasciitis of the lower limb is uncommon and necessitates an emergency medical and surgical treatment.
下肢坏死性筋膜炎4例
四肢坏死性筋膜炎是一种毒性严重的感染,可危及功能和生命预后。我们报告4例下肢。研究对象是两男两女,平均年龄为65到25岁。我们在所有病人身上都发现了皮肤损伤,但只有两个人身上的细菌被分离出来了。药物治疗包括抗生素和止痛药。手术治疗包括对3名患者的坏死组织进行广泛消融,对第4名患者的大腿进行截肢。两名患者进展良好,接受了植皮手术。最后一个病人,由于坏死扩大不得不在大腿处截肢。下肢坏死性筋膜炎是罕见的,需要紧急医疗和手术治疗。
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