Necrotizing Fasciitis Secondary to Perforated Appendicitis.
- Author:
Kyoung Hoon KO
1
;
Yong Pil CHO
;
Seung Mun JUNG
;
Soo jung CHOI
;
Seong Su KIM
;
Hyuk Jai JANG
;
Yong Ho KIM
;
Myoung Sik HAN
Author Information
1. Department of Surgery, University of Ulsan Medical College, Seoul Asan Hospital, Seoul, Korea. ypcho@gnah.co.kr
- Publication Type:Case Report
- Keywords:
Appendicitis;
Fasciitis;
Necrotizing
- MeSH:
Appendicitis*;
Bacterial Infections;
Dermis;
Diagnosis;
Fascia;
Fasciitis, Necrotizing*;
Mortality;
Thigh
- From:Journal of the Korean Surgical Society
2004;67(1):70-74
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Necrotizing fasciitis is a rapidly progressing soft-tissue infection that affects the subcutaneous fascia and dermis, and characteristically spares the underlying muscle. Most cases represent a synergistic or mixed bacterial infection of aerobes and anaerobes. A variety of etiologies have been reported. Herein, two cases of necrotizing fasciitis of the right thigh secondary to perforated appendicitis, an extremely rare complication, are reported. Both cases recovered following aggressive surgical and medical therapies. The delay in diagnosis and radical surgical excision are frequent and significant contributory factors in the high reported mortality rate. A high index of suspicion, followed by prompt surgical intervention with broad-spectrum antibiotic therapy, seems to be the most important prognostic factor in these difficult cases.
