Abstract:
A 57-year-old obese female with uncontrolled diabetes mellitus type I presented to the emergency department (ED) with the main complaint of worsening pain and redness in her right groin and inguinal regions. In the ED, a CT scan confirmed the likely presence of necrotizing fasciitis in the right groin and thigh. She was also found to be febrile and septic on admission. She was urgently taken to the OR for extensive debridement then admitted to the ICU for medical stabilization. She was subsequently taken back for serial debridements, and a negative pressure wound therapy with instillation (NPWTi-d) Veraflo device was placed once the wound was successfully debrided down to viable tissue. This is a case study on the wound progression of this patient.
摘要:
一名57岁的肥胖女性,患有未控制的I型糖尿病,向急诊科(ED)就诊,主要主诉是她的右腹股沟和腹股沟区域疼痛和发红恶化。在ED中,CT扫描证实右腹股沟和大腿可能存在坏死性筋膜炎。入院时她还被发现发烧和败血症。她被紧急送往手术室进行广泛的清创,然后被送往ICU进行医疗稳定。她随后被带回进行一系列清创,一旦伤口成功清创至活组织,就放置了滴注负压伤口治疗(NPWTi-d)Veraflo装置。这是该患者伤口进展的案例研究。