Back issues No.4 - 1989 / Case Report  

Full Text PDF


Necrotizing Fasciitis
Yu-Shung Lee, Heng-Leong Chang, Ming-Jing Chen, Yue-Zon Kuan
Dermatol Sinica 7: 239-247, 1989

A 69 years old female was admitted for suffering from severe pain and tender swelling of left knee about 8 hours before admission. She was treated as cellulltis with appropriate broad spectrum antibiotics, but her disase deteriorated rapidly with extension to the whole thigh within the next 27 hours, and septic shock was also experienced. The overlying skin of the left thigh and knee became purpuric change, showing sign of impending gangrene. Blisters and hemorrhagic bullae also developed. The ara with sever pain became complete anesthesia. The diagnosis of necrotizing fasciitis was confirmed at the time of surgery with the demonstration of liquefactive necrosis of the fascia. The causing organism was cultured as group A -hemolytic streptococcus. The patient died 1 week later due to sepisi. We consideer that the survival of the necrotizing fasciitis patients depend upon the early diagnosis and emergency surgery to which require the highly alertness of the clinician. A discussion of clinical manifestation and outcome of this disease is included.

You are visitors    
Copyright © 2008 THE Taiwanese Dermatological Association. All Rights Reserved. Email: Tel:886-2-2518-5126~7 Fax:886-2-2518-5128