ダウンロード数 : ?
ファイル
言語
英語
属性
症例報告
著者
田中 直美
南 憲明
Mushimoto Yuichi
金井 理恵
山口 清次
Higuchi Tsuyoshi
桑田 卓
内容記述(抄録等)
An 18-month-old boy suffering from pain and swelling of the right leg and fever, all of which developed following chickenpox infection, was referred to our hospital. His peripheral blood white blood cell count and CRP were elevated to 19,630 /μl and
9.87 mg/dl, respectively. Streptococcal antigen was detected on the throat swab. T2-weighted magnetic resonance images demonstrated high intensity signal in the fascia on his right leg, suggesting a diagnosis of necrotizing fasciitis(NF). Upon exploratory incision, surgical debridement and fasciotomy were performed on his leg. After surgery, pain and swelling of the leg and fever disappeared swiftly following antibiotics infusion. Two months postoperatively, he could walk without any impediment. Although NF is generally characterized by rapidly spreading necrosis and a high mortality rate, early diagnosis of NF with MRI followed by timely surgical intervention led to quick recovery of our patient without any major complications.
主題
necrotizing fasciitis
child
magnetic resonance imaging
debridement
exploratory incision
掲載誌名
Shimane journal of medical science
30
1
開始ページ
47
終了ページ
52
ISSN
03865959
ISSN(Online)
24332410
発行日
2013-11-01
NCID
AA00841586
出版者
Shimane University Faculty of Medicine
資料タイプ
紀要論文
ファイル形式
PDF
著者版/出版社版
出版社版
業績ID
e19137
部局
医学部