Necrotizing fasciitis in a patient with bullous pemphigoid treating with systemic steroid.
Necrotizing fasciitis (NF) is a rarely seen, life-threatening soft tissue infection characterized by progressive necrosis of skin, subcutaneous tissues and fasciae. Herein, we present a case of NF in a patient with bullous pemphigoid. A 78-year-old female patient was admitted with the left leg pain, swelling, redness and blistering. Streptococcus pyogenes was isolated from the wound culture. In the skin biopsy and the left leg magnetic resonance imaging, signs of NF were observed. The diagnosis of NF was considered. Then, urgent surgical debridement was performed by the department of plastic surgery. While under treatment with intravenous antibiotics therapy, unfortunately the patient died of acute renal insufficiency.
Department of Dermatology, Faculty of Medicine, Mustafa Kemal University, Hatay, Turkey. drozlemekiz@yahoo.com.tr
Özlem
Ö
Ekiz
Bilge Bülbül
BB
Şen
Emine Nur
EN
Rifaioğlu
Tümay
T
Özgür
Mehmet Uğur
MU
İnan
Çiğdem Asena
ÇA
Doğramacı
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000009:adverse effects*; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D005260:Female; D006801:Humans; D010391:Pemphigoid, Bullous / Q000188:drug therapy* / Q000382:microbiology / Q000473:pathology; D011239:Prednisolone / Q000009:adverse effects / Q000031:analogs & derivatives*; D012867:Skin / Q000473:pathology; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D013297:Streptococcus pyogenes / Q000302:isolation & purification
D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents; C025429:methyl prednisolonate; D011239:Prednisolone