Necrotizing soft tissue infection of the chest wall.
J Cardiovasc Surg (Torino)
; 43(4): 549-52, 2002 Aug.
Article
em En
| MEDLINE
| ID: mdl-12124572
ABSTRACT
Necrotizing soft tissue infection (NSTI) of the chest wall is a relatively rare but highly lethal surgical infection which has received little attention in the medical and surgical literature. The data reported are based on a literature review, including a Medline database search, and search of existing bibliographies. Twenty well-documented cases of primary chest wall involvement by NSTI were found. Thirteen patients were male. Patients' ages ranged from 10 weeks to 78 years. Thirteen patients were postoperative (65%). The diagnosis was initially considered in only 3 of the postoperative cases, a cause of significant delays in surgical treatment. Among those who lived long enough for their wounds to close, 2 had secondary healing, 5 experienced delayed skin grafting over the granulating wound, and 1 had skin grafting combined with muscle transfer. Mortality was 60%. Chest wall NSTI is a rapidly spreading, highly lethal infection. A high index of suspicion, early diagnosis, and aggressive approach are essential to its successful treatment.
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Base de dados:
MEDLINE
Assunto principal:
Doenças Torácicas
/
Fasciite Necrosante
Tipo de estudo:
Diagnostic_studies
/
Screening_studies
Limite:
Adolescent
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Adult
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Aged
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Child
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Female
/
Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2002
Tipo de documento:
Article