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Journal of the Korean Wound Management Society 2013;9(1): 34-37. |
| 비브리오 감염에 의한 괴사성 근막염 치험예 |
| 문예슬ㆍ임소영 |
| 성균관대학교 의과대학 삼성서울병원 성형외과학교실 |
| Treatment of Necrotizing Fasciitis Caused by Vibrio Vulnificus: A Case Report |
| Yeseul Moon, So Young Lim |
| Department of Plastic and Reconstructive Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea |
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Published online: 30 May 2013. |
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| ABSTRACT |
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Vibrio vulnificus infection can lead to development of necrotising fasciitis, which is a soft-tissue infection with a high risk of fatality. Necrotising fasciitis occurs mostly in immunocompromised patients with diseases such as hepatic disease, diabetes mellitus, or thalassaemia. The bacterium is frequently found in oysters, crustaceans, and shellfish. It is known that three main clinical manifestations, wound infection, primary septicemia, and gastroenteritis are usual; the other conditions, such as pneumonia, osteomyelitis, meningitis, or infections of unknown origin are less frequent. Necrotising fasciitis is a surgical emergency. Early and aggressive debridement or amputation is essential for survival. Antibiotic treatment without adequate surgical debridement is ineffective. A case report of the successful wound healing with aggressive surgical debridement, amputation and skin graft is described. (J Korean Wound Management Soc 2013;9:34-37) |
| Key Words:
V. vulnificus, Necrotizing fasciitis |
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