Progressive bacterial synergistic gangrene (Meleney's gangrene): a rare case.

IF 1.5 4区医学 Q3 DERMATOLOGY

Journal of wound care Pub Date : 2025-02-01 DOI:10.12968/jowc.2020.0119

Fatma Bilgen, Alper Ural, Mehmet Bekerecioglu

引用次数: 0

Abstract

Meleney's gangrene, also known as progressive bacterial synergistic gangrene, is a type of necrotising fasciitis. It is believed that it arises from synergistic effects of multiple bacterial agents, hence its name. In this case report, we present a non-surgical treatment approach of lower extremity Meleney's gangrene. A 32-year-old female patient was found to have a necrotic wound measuring 10×2cm on the inferior-lateral aspect of the thigh. A pouch of approximately 30×30cm was found on the subcutaneous deep muscle layer, extending to both anterior and posterior thigh. Effective treatment modalities can be implemented only if early diagnosis of this unique type of gangrene is possible. Therefore, Meleney's gangrene should be kept in mind in the differential diagnosis of subcutaneous soft tissue infections.

查看原文本刊更多论文

进行性细菌增效坏疽（Meleney坏疽）：一例罕见病例。

梅勒尼坏疽，又称进行性细菌增效坏疽，是坏死性筋膜炎的一种。据信，它是由多种细菌制剂的协同作用产生的，因此得名。在这个病例报告中，我们提出了一种非手术治疗下肢Meleney坏疽的方法。一个32岁的女性患者被发现有一个坏死性伤口，测量10×2cm在大腿的下外侧。在皮下深层肌肉层发现约30×30cm大小的囊袋，延伸至大腿前后。只有对这种独特类型的坏疽进行早期诊断，才能实施有效的治疗方法。因此，在鉴别诊断皮下软组织感染时，应注意Meleney坏疽。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of wound care DERMATOLOGY-

CiteScore

2.90

自引率

10.50%

发文量

215

期刊介绍： Journal of Wound Care (JWC) is the definitive wound-care journal and the leading source of up-to-date research and clinical information on everything related to tissue viability. The journal was first launched in 1992 and aimed at catering to the needs of the multidisciplinary team. Published monthly, the journal’s international audience includes nurses, doctors and researchers specialising in wound management and tissue viability, as well as generalists wishing to enhance their practice. In addition to cutting edge and state-of-the-art research and practice articles, JWC also covers topics related to wound-care management, education and novel therapies, as well as JWC cases supplements, a supplement dedicated solely to case reports and case series in wound care. All articles are rigorously peer-reviewed by a panel of international experts, comprised of clinicians, nurses and researchers. Specifically, JWC publishes: High quality evidence on all aspects of wound care, including leg ulcers, pressure ulcers, the diabetic foot, burns, surgical wounds, wound infection and more The latest developments and innovations in wound care through both preclinical and preliminary clinical trials of potential new treatments worldwide In-depth prospective studies of new treatment applications, as well as high-level research evidence on existing treatments Clinical case studies providing information on how to deal with complex wounds Comprehensive literature reviews on current concepts and practice, including cost-effectiveness Updates on the activities of wound care societies around the world.