医学
筋膜炎
外科
急诊科
并发症
泼尼松龙
关节置换术
清创术(牙科)
介绍(产科)
全髋关节置换术
糖尿病
精神科
内分泌学
作者
Kürşad Aytekin,Feyza Yıldız Aytekin
出处
期刊:Current Rheumatology Reviews
[Bentham Science]
日期:2022-02-10
卷期号:18 (4): 357-361
被引量:1
标识
DOI:10.2174/1573397118666220209144058
摘要
Necrotizing fasciitis (NF) is a life-threatening disease. Arthroplasty patients with underlying or preexisting conditions and chronic medication use are prone to infection. The current report aimed to present a 53 years old female patient who developed necrotizing fasciitis one month after total hip arthroplasty.On the postoperative 15th day, she had wound discharge. She was given oral anti- biotherapy. At postoperative 1 month, her complaints increased. At emergency service, she experienced extreme pain in her lower extremity with pseudoparalysis, and a hip X-ray revealed gas images. She used prednisolone for 10 years and insulin for 15 years because of pemphigus vulgaris and diabetes mellitus. Clinical and laboratory findings led us to the diagnosis of necrotizing fasciitis. Despite aggressive treatment, including debridement, prosthesis removal, and antibiotherapy, unfortunately, the patient died 13 days after admission.Patients with an immune suppressive condition, long-term corticosteroid use, or multiple underlying diseases should be closely monitored after total hip arthroplasty surgery to avoid such a devastating complication.
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