Late diagnosed necrotizing fasciitis as a cause of multiorgan dysfunction syndrome: A case report.
Necrotizing fasciitis is a rapidly progressive, life-threatening soft tissue bacterial infection. We present a serious case of a 43-year-old male who suffered from necrotizing fasciitis of the left leg in whom a delayed diagnosis caused multiorgan dysfunction.Early recognition of important symptoms is essential in the management and surgical debridement of necrotizing fasciitis. Treatment should include comprehensive supportive measures (early goal-directed therapy, adequate ventilation strategy, activated protein C dosage, tight glucose control, steroids, renal replacement therapy) and early antibiotic therapy based on microbiologic monitoring. The pathophysiology and etiologic factors of necrotizing fasciitis are discussed.
Smuszkiewicz
Piotr
P
Department of Anesthesiology, Intensive Therapy and Pain Treatment, University Hospital, Przybyszewskiego 49, 60-355 Poznan, Poland. piotr2160@wp.pl.
Trojanowska
Iwona
I
Tomczak
Hanna
H