关键词: antibiotics debridement meleney’s gangrene necrotizing fasciitis polymicrobial organisms

来  源:   DOI:10.7759/cureus.63849   PDF(Pubmed)

Abstract:
A rare rapidly-spreading necrotizing infection of the skin and soft tissues, Meleney\'s synergistic gangrene is characterized by a synergistic infection with both staphylococci and microaerophilic streptococci. This report presents a case of Meleney\'s synergistic gangrene in a young female patient with no comorbidities and no surgical history who was initially misdiagnosed as a case of perineal abscess and later after the culture report and course of the spread of infection, it was diagnosed as a case of Meleney\'s synergistic gangrene. The patient underwent serial debridements with a combination of broad-spectrum antibiotic cover followed by secondary closure of the wound and the patient was followed up after three months post-discharge and showed full recovery with no recurrence of infection.
摘要:
罕见的快速蔓延的皮肤和软组织坏死性感染,Meleney的协同坏疽的特征是葡萄球菌和微需氧链球菌的协同感染。本报告介绍了一名年轻女性患者的Meleney\的协同坏疽病例,该患者没有合并症,没有手术史,最初被误诊为会阴脓肿病例,后来在文化报告和感染传播过程后被误诊。它被诊断为Meleney的协同坏疽病例。患者接受了一系列清创术,并结合了广谱抗生素覆盖,然后二次闭合伤口,出院后三个月对患者进行了随访,并显示出完全康复,没有感染复发。
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