Severe infection of the anterior abdominal wall in a patient with diabetes mellitus: A case report

Detanac, S Dzemail; Detanac, A Dzenana; Mulić, Mersudin; Ceranic, Avdo; Ademovic, I Anida

doi:10.2298/mpns1708245d

Cited by 3 publications

(14 citation statements)

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“…Necrotizing Fasciitis (NF) is severe and potentially fatal, aggressive infection associated with significant morbidity and mortality. Some literature data reported that the prevalence of NF is about 1-4 cases per 100.000 populations; men are commonly affected, with a male-to-female ratio of 3:1 [1]. However, there are studies showing different results, so, male to female ratio by Eke et al is approximately 10:1 [5], and in the study of Kim et al, men accounted for 67.1% [6].…”

Section: Discussionmentioning

confidence: 93%

“…There is no age predilection for NF, but patient age is a significant predictive factor for treatment outcome. Patients in the middle-ages and older than 50 years of age are more likely to be infected [10], have a worse prognosis, especially if they have more comorbidities [1,11]. In the study by Chalya PL et al, the median age of patients was 34 years [11], while Schröder A at al.…”

Section: Discussionmentioning

confidence: 98%

“…The disease usually involves anterior abdominal wall (20%), the scrotum (30%) and perineum (50%) [1].…”

Section: Discussionmentioning

confidence: 99%

“…Necrotizing Fasciitis (NF) is a rare, severe, bacterial life-threatening infection, characterized by spreading rapidly, affecting subcutaneous tissue, fascia and sometimes muscles, an infection with high mortality rate, especially in patients with comorbidities [1].…”

Section: Introductionmentioning

confidence: 99%

“…The incidence of this infection is 1-4/100.000 persons per year. Many studies present different mortality data for NF, but what they have in common is that it is still extremely high [1,2,3]. In a population-based study in US, it was reported that overall mortality was 7.5%.…”

Section: Introductionmentioning

confidence: 99%

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Necrotising fascitis - a life-threatening infection: Case reports and literature review

et al. 2021

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Introduction. Necrotizing Fasciitis is a rare, severe, aggressive infection, life-threatening surgical emergency that spreads quickly, characterized by extensive necrosis of the deep and superficial fascia, associated with significant morbidity and mortality. Case outline. We are presenting two case reports with Necrotizing Fasciitis: a 54-year-old male patient, obese, with hypertension and untreated perianal fistula with severe infection of perianal region, perineum and scrotum, and 64-year-old female patient with diabetes mellitus and heart disease, with severe infection of the lower extremity, anterior abdominal wall, inguinal and gluteal region, in which the entry point of infection were microlesions of the skin after shaving. Both patients were treated by emergency extensive surgical necrectomy with eradication of the deep infection source, with all conservative treatment measures. The first patient was treated with hyperbaric oxygen therapy, the 2nd wasn't because of cardiac and pulmonary contraindications. Conclusion. Better treatment outcome requires a multidisciplinary approach (cardiologist, endocrinologist, nephrologist, orthopedist, surgeon). Rapid and extensive surgical necrectomy is necessary to increase the success of the treatment of patients with this infection.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 98%

“…The disease usually involves anterior abdominal wall (20%), the scrotum (30%) and perineum (50%) [1].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Necrotising fascitis - a life-threatening infection: Case reports and literature review

et al. 2021

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Necrotizing Soft Tissue Infection: A Single-Center Retrospective Study of Treatment and Outcomes

Detanac

Mujdragić

Detanac

et al. 2021

Cureus

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IntroductionNecrotizing fasciitis is a severe inflammatory disease of the body's soft tissue characterized by spreading rapidly and high mortality. Rapid surgical intervention along with other supportive measures of treatment have a great impact on the outcome of treatment. Material and methodsThis study was conducted by a retrospective medical record review of all patients with a microbiologically and clinically confirmed diagnosis of necrotizing fasciitis who were admitted to the general surgery department at the General Hospital Novi Pazar, Serbia, during the period between 2017 and 2020. Demographic, clinical, laboratory, and microbiology data were analyzed. ResultsA total of 13 cases were identified, which represents 0.21% of the total number of patients treated at the surgical department during the period January 2017 to November 2020. The mean age of patients was 55 years, with a male/female ratio of 1:1.6. All of them had at least one comorbidity and more than half had three or more. Diabetes, cardiovascular diseases, and obesity were the most common comorbidities. The most common causes of infection were Klebsiella spp, Pseudomonas aeruginosa, S. pyogenes, and S. aureus. All patients received multiple surgical interventions (mean 2.3). ConclusionTreating necrotizing fasciitis requires a multidisciplinary approach. Early diagnosis and rapid clinical response allow for better disease outcomes. Getting to know more about necrotizing fasciitis will help doctors make better decisions when treating it.

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An Unexpected Turn: Management of a Life-Threatening Infection Following Liposuction Procedure (Case Report)

Morgom,

Eisa,

Ali

et al. 2024

Cureus

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This case report presents a rare case of necrotizing fasciitis (NF) following liposuction and lipofilling surgery in a young woman. Despite prompt diagnosis and aggressive management with multiple debridements, broad-spectrum antibiotics, and supportive care, the patient experienced a protracted course with severe complications, including intra-abdominal collection recurrence, heart failure, and sepsis. The presence of resistant bacteria (extended-spectrum beta-lactamases (ESBLs)-producing Escherichia coli and methicillinresistant Staphylococcus aureus (MRSA)) further challenged the treatment. This case highlights the importance of early recognition and aggressive management of NF, particularly in patients with risk factors following cosmetic surgery. In addition, it raises awareness of the potential for heart failure as a complication in this context and warrants further investigation.

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Severe infection of the anterior abdominal wall in a patient with diabetes mellitus: A case report

Cited by 3 publications

References 13 publications

Necrotising fascitis - a life-threatening infection: Case reports and literature review

Necrotising fascitis - a life-threatening infection: Case reports and literature review

Necrotizing Soft Tissue Infection: A Single-Center Retrospective Study of Treatment and Outcomes

An Unexpected Turn: Management of a Life-Threatening Infection Following Liposuction Procedure (Case Report)

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