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KMID : 0948920100090010032
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Clinical Pain
2010 Volume.9 No. 1 p.32 ~ p.35
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Extensive Necrotizing Fasciitis -A Case Report-
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Park Gi-Young
Park Hae-Woon
Kwon Dong-Rak
Choe Jung-Yoon
Kwon Jung-Gu
Kang In-Soon
Lee Sung-Uk
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Abstract
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Necrotizing fasciitis (NF) is a life-threatening infection affecting fascias and subcutaneous soft tissues. Because the process begins in the deep subcutaneous tissue and fascia, and common clinical symptoms and signs are similar to cellulitis, early clinical diagnosis may be difficult. Early diagnosis and prompt surgical intervention are crucial for a successful outcome in the patients with NF. NF is associated with various conditions and predisposing factors which can aggravate or mask it. We present a case of extensive NF in the hip and thigh presenting severe hip pain without typical cutaneous symptoms and signs due to multiple predisposing factors such as diabetic foot ulcer and rheumatoid arthritis, which made the delayed diagnosis of extensive NF, and the patient expired despite prompt surgical intervention.
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KEYWORD
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Necrotizing fasciitis, Ultrasonography, Diabetic foot ulcer, Rheumatoid arthritis
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