[Postoperative necrotizing fasciitis: a rare and fatal complication].
Postoperative parietal complications can be exceptionally severe and serious threatening vital prognosis. Necrotizing fasciitis is a rare infection of the skin and deep subcutaneous tissues, spreading along fascia and adipose tissue. It is mainly caused by group A streptococcus (streptococcus pyogenes) but also by other bacteria such as Vibrio vulnificus, Clostridium perfringens or Bacteroides fragilis. Necrotizing fasciitis is a real surgical and medical emergency. We report, in this study, a very rare case of abdominal parietal gangrene occurring in a 75-year-old woman on the fifth day after surgery for an ovarian cyst. Evolution was marked by occurrence of a refractory septic shock with a rapidly fatal course on the third day of management.
Service de Réanimation Médicale, Faculté de Médecine de Tunis, Hôpital de Zaghouan, Zaghouan, Tunisie.
Hassen Ben
HB
Ghezala
Service de Chirurgie Générale à la Faculté de Médecine de Tunis, Hôpital de Zaghouan, Zaghouan, Tunisie.
Najla
N
Feriani
D000368:Aged; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D005734:Gangrene / Q000209:etiology* / Q000473:pathology; D006801:Humans; D010048:Ovarian Cysts / Q000601:surgery; D011183:Postoperative Complications / Q000382:microbiology / Q000473:pathology*; D012772:Shock, Septic / Q000209:etiology* / Q000473:pathology
Necrotizing fasciitis; abdominal wall; postoperative; streptococcus