Necrotising fasciitis originating from a vulval abscess--a case report.
This article reports a rare case of necrotising fasciitis starting out as a vulval abscess with rapid progression to a potentially lethal condition. Elderly people with medical conditions such as diabetes are especially prone to it. A high index of suspicion and an early surgical consult are essential in improving outcome in this condition. Once diagnosed, aggressive surgical debridement with antibiotic cover is crucial. This is followed up with meticulous nursing care of the large wound till it heals. The various diagnostic points and treatment modalities are also discussed.
Department of Obstetrics & Gynaecology, National University Hospital, Singapore.
K
K
Razvi
C L
CL
Ong
S
S
Chua
Y T
YT
Chia
S S
SS
Ratnam
S
S
Arulkumaran
D000009:Abdominal Muscles / Q000473:pathology; D000038:Abscess / Q000150:complications*; D000368:Aged; D000369:Aged, 80 and over; D002481:Cellulitis / Q000150:complications; D003646:Debridement; D048909:Diabetes Complications; D018450:Disease Progression; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D005260:Female; D006801:Humans; D014845:Vulvar Diseases / Q000150:complications*; D014945:Wound Healing