[Necrotizing fasciitis of the posterior neck. A rare clinical form of head and neck cellulitis: a case report from Togo].

[后颈部坏死性筋膜炎。一种罕见的头颈部蜂窝织炎的临床形式 ： 来自多哥的病例报告] 。

• 发表时间: 2023 06 30
• 来源期刊: Med Trop Sante Int
• DOI: 10.48327/mtsi.v3i2.2023.303
• PMID: 37525679
• 文章类型: Case Reports
• 作者列表: Bissa H,Amana E,Amegble KDJ,Reoulembaye Djim H,Foma W

关键词: Cellulitis; Flap; Graft; Neck; Necrotizing fasciitis; Sub-Saharan Africa; Togo

Mesh: Humans; Animals; Aged; Fasciitis, Necrotizing / diagnosis; Cellulitis / diagnosis; Togo; Head / diagnostic imaging; Neck / diagnostic imaging; Heteroptera

Abstract

We report the case of a 75-year-old diabetic patient who presented with posterior cervical necrotizing fasciitis complicating cellulitis. Medical management in intensive care and surgical drainage were undertaken; sequential excision of the necrotic tissue left a large loss of substance of the nuchal region for which we opted for directed healing in the first instance. The definitive coverage of this loss of substance by locoregional rotation flap or by thin skin grafting was discussed. However, it was refused by the patient.

摘要

我们报告了一例75岁的糖尿病患者，该患者患有后颈坏死性筋膜炎并伴有蜂窝织炎。进行了重症监护和外科引流的医疗管理；顺序切除坏死组织会使颈区的物质大量损失，我们首先选择了定向愈合。讨论了局部旋转皮瓣或薄皮肤移植对这种物质损失的最终覆盖。然而,被病人拒绝了。