title: Primary necrotizing fasciitis of the breast: a case report and review of the literature.
abstract: Primary necrotizing fasciitis of the breast is extremely rare. We describe a case of a 51-year-old diabetic smoker who presented with primary necrotizing fasciitis of the breast, with signs of severe systemic sepsis. She required intravenous antibiotics, radical emergency surgery, intensive care treatment and inotropic support. After daily wound inspections and changes of dressings, the wound was amenable to delayed primary closure on day 6. We describe this case in detail and review the literature on this extremely rare, but potentially fatal, infection.
authors.affiliation: Department of General Surgery, Borders General Hospital, Melrose, Scotland, UK. danielablett@hotmail.com
authors.forename: D J
authors.initials: DJ
authors.lastname: Ablett
authors.forename: J
authors.initials: J
authors.lastname: Bakker-Dyos
authors.forename: J B
authors.initials: JB
authors.lastname: Rainey
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001941:Breast Diseases / Q000150:complications / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D019115:Fasciitis, Necrotizing / Q000150:complications / Q000188:drug therapy / Q000382:microbiology / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D018805:Sepsis / Q000209:etiology; D012907:Smoking / Q000009:adverse effects; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D000900:Anti-Bacterial Agents