Abstract：
Necrotizing fasciitis is a rapidly progressive soft tissue infection extending from the skin to the fascia, resulting in extensive necrosis. It is a very rare but serious complication, with mortality ranging from 10 to 15%. Optimal management involves early diagnosis followed by treatment combining antibiotic therapy and wide surgical removal as soon as possible. Localisation in the breast is uncommon. Although most cases are primary necrotizing fasciitis of the breast, several cases of necrotizing fasciitis have been reported in the post-operative aftermath of breast surgery. We present a case of necrotizing fasciitis of the breast following submammary mastectomy with immediate reconstruction using a pre-pectoral silicone implant, which resulted in multiple organ failure and the death of the patient despite optimal medical and surgical management. This is the first case to occur after immediate breast reconstruction.
摘要：
坏死性筋膜炎是一种从皮肤延伸到筋膜的快速进行性软组织感染，导致广泛的坏死。这是一种非常罕见但严重的并发症，死亡率从10%到15%不等。最佳管理包括早期诊断，然后尽快结合抗生素治疗和广泛的手术切除治疗。乳房中的定位并不常见。尽管大多数病例是乳腺原发性坏死性筋膜炎，据报道,在乳房手术后发生了几例坏死性筋膜炎.我们介绍了一例乳腺下乳房切除术后的坏死性筋膜炎，并使用胸前硅胶植入物立即进行重建，尽管进行了最佳的医疗和手术管理，但仍导致多器官衰竭和患者死亡。这是在立即乳房重建后发生的第一种情况。
