title: Multidisciplinary intensive care in extensive necrotizing fasciitis.
abstract: This is a case report of extensive necrotizing fasciitis (NF). A 65-year-old man presented with high fever, pain, swelling, and redness of the perineum, scrotum, and right lower limb. Based on the clinical symptoms and an imaging examination, a diagnosis of NF was made. The patient underwent an extensive exploration followed by daily bedside debridement. A diversion colostomy and six additional debridement procedures on the right thigh and perineum were subsequently performed. Although the patient had an eventful course, he recovered well under a multidisciplinary treatment regimen. The treatment and hospital course of the patient are described.
authors.affiliation: Department of Anesthesiology and Surgical Intensive Care Unit, Zhongshan Hospital, Fudan University, 180 Fenglin Rd, 200032, Shanghai, China.
authors.forename: Guo-Wei
authors.initials: GW
authors.lastname: Tu
authors.forename: J O
authors.initials: JO
authors.lastname: Hwabejire
authors.forename: Min-Jie
authors.initials: MJ
authors.lastname: Ju
authors.forename: Yuan-Feng
authors.initials: YF
authors.lastname: Yang
authors.forename: Guang-Jian
authors.initials: GJ
authors.lastname: Zhang
authors.forename: Jian-Wei
authors.initials: JW
authors.lastname: Xu
authors.forename: Zhang-Gang
authors.initials: ZG
authors.lastname: Xue
authors.forename: Chun
authors.initials: C
authors.lastname: Jiang
authors.forename: C
authors.initials: C
authors.lastname: Jiang
authors.forename: Zhe
authors.initials: Z
authors.lastname: Luo
authors.forename: Z
authors.initials: Z
authors.lastname: Luo
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003125:Colostomy; D003422:Critical Care; D003646:Debridement; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D007362:Intensive Care Units; D007710:Klebsiella Infections / Q000175:diagnosis / Q000188:drug therapy; D007711:Klebsiella pneumoniae / Q000302:isolation & purification*; D008297:Male; D010502:Perineum / Q000382:microbiology / Q000473:pathology; D012611:Scrotum / Q000382:microbiology / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents