Management of a patient with necrotizing soft tissue infection complicated by sepsis. An authors’ experience
https://doi.org/10.25199/2408-9613-2022-9-2-26-32
Abstract
The authors describe their experience in a successful treatment of a patient with necrotizing infection of lower limb soft tissues complicated by sepsis. Their comprehensive approach included two-stage surgical intervention and medicamentous therapy. As a result, the patient has completely recovered.
Keywords
necrotizing soft tissue infection,
surgical debridement,
skin grafting,
negative pressure wound therapy (NPWT),
local treatment,
surgical treatment
Supporting agencies: The study had no sponsorship
About the Authors
A. I. Anikin
GBUZ “City Clinical Hospital No. 17” of the Moscow Department of Health
Russian Federation
Russian Federation
Anikin Andrey Igorevich – Candidate of Medical Sciences, Head of the Purulent Surgery Department.
7 Volynskaya Str., 119620, Moscow
A. M. Skvortsov
GBUZ “City Clinical Hospital No. 17” of the Moscow Department of Health
Russian Federation
Russian Federation
Skvortsov Anton Mikhailovich – surgeon.
7 Volynskaya Str., 119620, Moscow
O. A. Dedenkov
GBUZ “City Clinical Hospital No. 17” of the Moscow Department of Health
Russian Federation
Russian Federation
Dedenkov Oleg Anatolyevich – surgeon.
7 Volynskaya Str., 119620, Moscow
M. B. Rumyantseva
GBUZ “City Clinical Hospital No. 17” of the Moscow Department of Health
Russian Federation
Russian Federation
Rumyantseva Maria Borisovna – pathologist.
7 Volynskaya Str., 119620, Moscow
B. G. Zavyalov
GBUZ “City Clinical Hospital No. 17” of the Moscow Department of Health
Russian Federation
Russian Federation
Zavyalov Boris Georgievich – Chief Physician.
7 Volynskaya Str., 119620, Moscow
References
1. Bryusov P. G., Krylov N. L., Frantsuzov V. N., et al. Mistakes in the treatment of anaerobic non-clostridial infection of soft tissues = Bryusov P. G., Krylov N. L., Frantsuzov V. N. i dr. Oshibki pri lechenii anaerobnoy neklostridial’noy infektsii myagkikh tkaney. Vestnik khirurgii im. Grekova. 1992; 2: 210–216. (In Russ.)
2. Molchanov V. V. Clinical diagnosis of necrotizing infections of soft tissues in a general surgical hospital = Molchanov V. V. Klinicheskaya diagnostika nekrotiziruyushchikh infektsiy myagkikh tkaney v usloviyakh obshchekhirurgicheskogo statsionara. Diss. … kand. med. nauk. M., 2010. (In Russ.)
3. Frantsuzov V. N. Sepsis in patients with anaerobic non-clostridial infection of soft tissues. Diagnosis, treatment and organization of specialized medical care = Frantsuzov V. N. Sepsis u bol’nykh anaerobnoy neklostridial’noy infektsiyey myagkikh tkaney. Diagnostika, lecheniye i organizatsiya spetsializirovannoy meditsinskoy pomoshchi. Diss. … dokt. med. nauk. M., 2008. (In Russ.)
4. Surgical infections of the skin and soft tissues: Russian national guidelines = Khirurgicheskiye infektsii kozhi i myagkikh tkaney: rossiyskiye natsional’nyye rekomendatsii. Izd. 2-ye, dop. M., 2015. 109 s. (In Russ.)
5. Boyer A., Vargas F., Coste F., et al. Influence of surgical treatment timing on mortality from necrotizing soft tissue infections requiring intensive caremanagemen. Intensive Care Med. 2009; 35 (5): 847–853.
6. Latifi R., Patel A. S., Samson D. J., et al. The roles of early surgery and comorbid conditions on outcomes of severe necrotizing softtissue infections. Eur J Trauma Emerg Surg. 2019; 45 (5): 919–926.
7. Hungerer S., Ziegler P., Bühren V., Friederichs J. Nekrotisierende Weichteilinfekte. Klinische Diagnose und Therapieentscheidung. Trauma Berufskrankh. 2018; 20: 67–72.
Review
For citations:
Anikin A.I., Skvortsov A.M., Dedenkov O.A., Rumyantseva M.B., Zavyalov B.G. Management of a patient with necrotizing soft tissue infection complicated by sepsis. An authors’ experience. Wounds and wound infections. The prof. B.M. Kostyuchenok journal. 2022;9(2):26-32. (In Russ.) https://doi.org/10.25199/2408-9613-2022-9-2-26-32
Views:
356
Email this article 