論文

国際誌
2022年7月15日

Postoperative empyema complicated with descending necrotizing fasciitis: a case report.

Surgical case reports
  • Yuka Kadomatsu
  • ,
  • Harushi Ueno
  • ,
  • Masaki Goto
  • ,
  • Naoki Ozeki
  • ,
  • Shota Nakamura
  • ,
  • Toyofumi Fengshi Chen-Yoshikawa

8
1
開始ページ
133
終了ページ
133
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1186/s40792-022-01492-9

BACKGROUND: Empyema is a serious complication of lung surgery. CASE PRESENTATION: We report a case of Streptococcus anginosus empyema complicated by descending necrotizing fasciitis after surgery. Ten days after the initial surgery, the patient presented with arrhythmia and hypotension with septic shock. Pleural fluid analysis led to the diagnosis of empyema, and surgical debridement (second surgery) was performed. One week after the emergency surgery, a palpable pink erythematous skin change was observed on the ipsilateral iliac crest. Hence, the second emergency surgery (third surgery) was performed to debride the subcutaneous and intramuscular abscesses. CONCLUSIONS: The possibility of descending abscess and necrotizing fasciitis should be considered when Streptococcus anginosus is detected.

リンク情報
DOI
https://doi.org/10.1186/s40792-022-01492-9
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/35836035
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9283599
ID情報
  • DOI : 10.1186/s40792-022-01492-9
  • PubMed ID : 35836035
  • PubMed Central 記事ID : PMC9283599

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