[Necrotizing fasciitis after "banal" back pain. An unusual course of a retrocoecal appendicitis and its sequellae].
Necrotizing fasciitis is a life-threatening disease which can only be successfully treated by an interdisciplinary team. An immediate and radical debridement with opening of all compartments and debridement of the affected fascia is the basis for a successful therapy. We report about the treatment of a 21-year-old man who was taken to hospital due to "banal" back pain which was caused by a perforated appendicitis. In only 2 days necrotizing fasciitis developed which spread out over the complete right leg.
Wilharm
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Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum der Friedrich-Schiller-Universität, Erlanger Alle 101, 07747 Jena. Arne.Wilharm@med.uni-jena.de
Gras
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F
Mückley
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Hofmann
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GO
D000359:Aftercare; D001062:Appendectomy; D001064:Appendicitis / Q000175:diagnosis* / Q000601:surgery*; D001416:Back Pain / Q000209:etiology*; D001424:Bacterial Infections / Q000175:diagnosis* / Q000601:surgery*; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D018450:Disease Progression; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D010348:Patient Care Team; D011183:Postoperative Complications / Q000175:diagnosis* / Q000601:surgery*; D016659:Psoas Abscess / Q000175:diagnosis* / Q000601:surgery*; D012086:Reoperation; D012187:Retroperitoneal Space; D012772:Shock, Septic / Q000175:diagnosis / Q000601:surgery; D013524:Surgical Flaps; D013848:Thigh / Q000601:surgery; D014057:Tomography, X-Ray Computed; D055815:Young Adult