PDF(Pubmed)
Abstract：
Necrotizing soft tissue infection of the breast is an extremely rare event in routine surgical practice. It is the most aggressive form of soft tissue infection and a real surgical emergency. It is associated with a high risk of mortality if not diagnosed promptly. A Literature search has revealed only a few such cases. The exact etiology is variable and very often multifactorial. Early recognition and prompt surgical treatment along with broad-spectrum antibiotic therapy are of paramount importance to prevent mortality. In this report, we present the first case of necrotizing fasciitis of the breast following an insect bite in the literature, in a 57-year-old diabetic patient with a delayed presentation that required a life-saving mastectomy.
摘要：
在常规手术实践中，乳腺坏死性软组织感染是极为罕见的事件。它是最积极的软组织感染形式和真正的外科紧急情况。如果不及时诊断，它与高死亡风险有关。文献搜索仅显示了少数此类案件。确切的病因是可变的，并且通常是多因素的。早期识别和及时手术治疗以及广谱抗生素治疗对于预防死亡至关重要。在这份报告中,我们在文献中介绍了第一例昆虫叮咬后乳房坏死性筋膜炎，一名57岁的糖尿病患者延迟就诊，需要进行挽救生命的乳房切除术。
