| Title |
Streptococcus pyogenes sukeltas nekrozinis fascitas po uždaro šokikaulio išnirimo / |
| Translation of Title |
Streptococcus pyogenes necrotizing fascitis after closed calcaneus luxation. |
| Authors |
Uvarovas, Valentinas ; Šatkauskas, Igoris ; Sveikata, Tomas ; Bartkevičius, Eduardas |
| DOI |
10.15388/LietChirur.2008.4.2144 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2008, t. 6, Nr. 4, p. 276-280.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
necrotizing fascitis ; Streptococcal toxic shock syndrome ; patient |
| Abstract [eng] |
BThe aim of this study was to present a rare case of necrotizing fascitis and review the literature. We report a case of a 44-year-old female patient with a right closed subtalar luxation whose treatment developed necrotizing fascitis, streptococcal toxic shock syndrome and ended up with amputation of four limbs. After closed reduction of the calcaneus and immobilization in plaster cast at our emergency department and 2 days of hospitalization, the patient was referred for outpatient care. Within 6 days, due to severe pain and moderate swelling of the right ankle joint and the calf, the patient was admitted to the emergency department for the second time. In 36 hours after hospitalization, the patient developed hypotension and a severe septic situation with progressive swelling of the right calf and thigh. After the diagnosis of necrotizing fascitis had been established, the patient underwent an urgent and aggressive surgical debridement with fasciotomies of the right lower extremity. The microbiological investigation of the intraoperatively taken specimens presented group A-ß-hemolytic streptococcus. The patient survived, but despite an antibiotic therapy, intensive care support and second book operation, the amputation of the right leg was done, and the treatment ended in the amputation of the left tibia and both arms. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
Lithuanian |
| Publication date |
2008 |
| CC license |
|
