Rare Breast Emergency: A Case of Necrotizing Fasciitis of the Breast in a Lactating Patient.

IF 1.3 Q4 ONCOLOGY
Gökhan Giray Akgül, Sümeyra Güler, Simay Akyüz, Duygu Bayram, İbrahim Burak Bahçecioğlu, Müjdat Turan, Hikmet Erhan Güven, Mehmet Ali Gülçelik, Kerim Bora Yılmaz
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Abstract

Necrotizing fasciitis is a rare but potentially lethal infection of the skin and soft tissue, commonly seen in the perianal and gluteal regions. Concomitant diabetes is a predisposing factor. Primary necrotizing fasciitis of the breast is rare in healthy women. In this article, we present a very rare case of breast necrotizing fasciitis in the context of the literature. We report the case of a 35-year-old female patient who had given birth two months prior to admission and developed necrotizing fasciitis of the breast during lactation. The patient presented to the emergency department with sepsis. Examination revealed widespread erythema, dark discoloration, edema, and necrotic areas indicative of wet gangrene and crepitation in the left breast. Necrotizing fasciitis is a rapid and aggressive disease that can be fatal, and delayed diagnosis may unfortunately result in death. Therefore, careful evaluation of all suspected cases, especially for patients with risk factors, is crucial for early diagnosis and timely treatment. This case highlights the importance of recognizing necrotizing fasciitis of the breast in lactating women to ensure prompt and appropriate management, potentially saving lives.

罕见的乳房急症:哺乳期患者乳房坏死性筋膜炎病例。
坏死性筋膜炎是一种罕见但可能致命的皮肤和软组织感染,常见于肛周和臀部。糖尿病是易感因素之一。乳房原发性坏死性筋膜炎在健康女性中很少见。本文结合文献,介绍了一例非常罕见的乳腺坏死性筋膜炎病例。我们报告了一例 35 岁女性患者的病例,她在入院前两个月分娩,并在哺乳期患上了乳房坏死性筋膜炎。患者因败血症到急诊科就诊。检查发现左侧乳房有广泛的红斑、深色褪色、水肿和坏死区,表明左侧乳房有湿性坏疽和皱褶。坏死性筋膜炎是一种可致命的快速侵袭性疾病,延误诊断可能会导致患者死亡。因此,仔细评估所有疑似病例,尤其是有危险因素的患者,对于早期诊断和及时治疗至关重要。本病例强调了识别哺乳期妇女乳房坏死性筋膜炎的重要性,以确保及时和适当的治疗,从而挽救生命。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
2.60
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