壊そ性筋膜炎の７症例

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  • Necrotizing Fasciitis-Report of 7 Cases-

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There have been seven cases of necrotizing fasciitis treated in the hospital. All of them were male and were aged from 49 to 66 years old. Every case complained of perianal pain and five cases had high temperature. At the initial examination, remarkable redness and swelling of the perineum was found in every case, and partial necrosis of perianal skin had occurred in some cases. Inflammation had extended to the scrotum in two cases. WBC and CRP were remarkably elevated in all cases. When we performed incision and drainage with local anesthesia, we recognized phlegmonous tissue and a small amount of purulent discharge. It was found to be debriding necrotic tissue and extensive drainage, so we performed surgical treatment. In six cases, surgical treatment was performed under spinal anesthesia during which we recognized remarkable necrosis and a peculiar bad smell. Four cases were saved in the hospital by us; the other cases were transported to the college hospital and surgical treatment was performed under general anesthesia. All cases recovered.<BR>Rapid and accurate diagnosis of necrotizing fasciitis is essential because it is a serious infection and prognosis is poor. If necessary, the patient should be transported to a hospital that has more facilities.

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