Necrotizing soft tissue infection case study (advanced treatment techniques)

Iulia Filip; Nicoleta Mary Lupu; Magdalena Miulescu; Oana Roxana Ciobotaru; Mădălina Nina Sandu

doi:10.35219/ann-ugal-math-phys-mec.2018.2.07

Iulia Filip “Dunarea de Jos“ University of Galati
Nicoleta Mary Lupu “Dunarea de Jos“ University of Galati
Magdalena Miulescu “Dunarea de Jos“ University of Galati
Oana Roxana Ciobotaru “Dunarea de Jos“ University of Galati
Mădălina Nina Sandu “Dunarea de Jos“ University of Galati

DOI: https://doi.org/10.35219/ann-ugal-math-phys-mec.2018.2.07

Keywords: Infection, necrosis, soft tissue, sepsis, negative pressure device

Abstract

Necrotizing soft tissue infections are likely lethal and the key points in their management are: prompt diagnosis, aggressive use of empiric antibiotics and most importantly, early radical debridement of affected tissue. One of several new strategies includes the use of negative pressure devices, which eliminates the need of daily dressing changes and promotes an enhanced vascularization. Our paper is based on a case study of necrotizing fasciitis, sepsis of a 70-year-old patient with undiagnosed comorbidities. Treatment of this pathology is time intensive and multi-disciplinary. The basic treatment implies repeatable surgical interventions involving the debridement of the necrotic zones and aggressive use of broad-spectrum antibiotics, rigorous supportive care and application of the negative pressure device strategy, leading to a positive evolution of the patient, as well as a reduction in the hospitalization time.