2019, Number 02
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Ginecol Obstet Mex 2019; 87 (02)
Abdominal necrotizing fasciitis in a patient of eleven-days pospartum. A case report
Torriente-Vizcaíno L, Cuellar-Herrera D, Pérez-Casales S
Language: Spanish
References: 11
Page: 128-132
PDF size: 257.40 Kb.
ABSTRACT
Background: Necrotizing fasciitis is an uncommon progressive infection, with
high lethality that can affect any part of the body, caused mostly by a polymicrobial
infection affecting the superficial fascia, subcutaneous tissue, subcutaneous fat with
nerves, arteries, veins and deep fascia.
Clinical case: A 28-year-old woman with a history of obesity and HIV, admitted to
the Obstetrics Service with fever (39° C), chills and abdominal pain. A black-bluish
lesion was observed, with defined edges of approximately 40 x 20 cm in the abdominal
area, around the surgical wound, with blisters and great stench. Hematological study
was carried out Hb: 10 g/L, C-reactive protein: 413, and Creatinine: 110 mg/dL. Culture
sample of the ampoules is taken. The next day the complementary ones are repeated and
Hb is observed: 8.5 g/L, C-reactive protein: 516, and Creatinine: 215 mg/dL; the result
of the culture positive for Pseudomonas aeruginosa and Staphylococcus. Endovenous
treatment with antibiotics and surgical treatment was used. We observed satisfactory
evolution of the patient without sequelae.
Conclusions: The opportune diagnosis of this pathology allows an early action,
with the consequent survival of the patients.
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