title: Adjunctive use of superoxidized solution in chest wall necrotizing soft tissue infection.
abstract: A 39-year-old Indian man presented with necrotizing soft tissue infection of his right forearm and previously undiagnosed diabetes mellitus. The infection progressively worsened to involve his right lateral chest wall despite multiple debridements and systemic antibiotics. His right arm was eventually disarticulated along with wide debridement of the surrounding tissue. Aggressive wound debridement, mechanical scrubbing, and irrigation were then initiated every 8 hours. A superoxidized solution was later introduced as a wound irrigant and dressing agent. The large defect was suitable for split-thickness skin grafting after 16 days of a strict wound management routine with the superoxidized solution.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, University of Malaya Medical Center, Kuala Lumpur, Malaysia. madheaven@gmail.com
authors.forename: Mahadevan D
authors.initials: MD
authors.lastname: Tata
authors.forename: Kong C
authors.initials: KC
authors.lastname: Kwan
authors.forename: Mohammed R
authors.initials: MR
authors.lastname: Abdul-Razak
authors.forename: Sharminithevi
authors.initials: S
authors.lastname: Paramalingam
authors.forename: Wing C
authors.initials: WC
authors.lastname: Yeen
mesh_terms: D000328:Adult; D048909:Diabetes Complications / Q000473:pathology / Q000601:surgery; D004202:Disinfectants / Q000627:therapeutic use; D005738:Gas Gangrene / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D006801:Humans; D006861:Hydrogen Peroxide / Q000627:therapeutic use*; D008297:Male; D009336:Necrosis; D011552:Pseudomonas Infections / Q000188:drug therapy / Q000473:pathology; D011550:Pseudomonas aeruginosa; D016038:Skin Transplantation; D018461:Soft Tissue Infections / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D035441:Thoracic Wall / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D004202:Disinfectants; C118085:superoxidized water; D006861:Hydrogen Peroxide