%0 Case Reports
%T [Multifocal necrotizing fasciitis: presentation of a case].
%A Navarro-Cano E
%A Noriego-Muñoz D
%J Rev Esp Cir Ortop Traumatol
%V 58
%N 1
%D Jan-Feb 2014
%M 24071047
暂无%R 10.1016/j.recot.2013.06.004
%X <B>BACKGROUND: </B>Multifocal necrotizing fasciitis is a condition in which there is more than one non-contiguous body area affected, and it is usually the result of the dissemination of septic emboli.<BR><B>METHODS: </B>We present a 67 year-old patient, on oral corticosteroid treatment, who was admitted with a septic shock. The previous week he had been operated on due to the perforation of a colon diverticulum. He had signs that suggested necrotizing fasciitis on all four limbs which progressed quickly. Emergency fasciotomies on all limbs were performed, and empirical antibiotic treatment was started.<BR><B>RESULTS: </B>After the surgery the patient improved, and seven days after the debridement, primary closure of the wounds was performed. Tissue cultures were negative.<BR><B>CONCLUSIONS: </B>Being a rare entity, there is no consensus regarding the management of multifocal necrotizing fasciitis. However, early and aggressive debridement (including fasciotomies and even amputation) and broad-spectrum antibiotics are essential for its treatment.