Necrotizing Fasciitis of the Breast Requiring a Life-Saving Mastectomy: A Case Report and Literature Review

被引:8
作者
Islam, Shariful [1 ,2 ]
Aziz, Imran [3 ]
Shah, Jitendra [2 ,4 ]
Naraynsingh, Vijay [2 ,5 ]
Harnarayan, Patrick [2 ,6 ]
机构
[1] San Fernando Gen Hosp, Gen Surg Oncoplast Breast Surg, San Fernando, Trinidad Tobago
[2] Univ West Indies, Dept Clin Surg Sci, St Augustine, Trinidad Tobago
[3] San Fernando Gen Hosp, Surg, San Fernando, Trinidad Tobago
[4] San Fernando Gen Hosp, Dept Gen Surg Breast Surg, San Fernando, Trinidad Tobago
[5] Med Associates Hosp, Surg, St Joseph, Trinidad Tobago
[6] San Fernando Gen Hosp, Gen Surg, San Fernando, Trinidad Tobago
关键词
necrotising fasciitis of the breast; insect bites; diabetes; breast; gas gangrene; GANGRENE; RARE; COMPLICATION; MANAGEMENT; INFECTION; THERAPY;
D O I
10.7759/cureus.19886
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Necrotizing soft tissue infection of the breast is an extremely rare event in routine surgical practice. It is the most aggressive form of soft tissue infection and a real surgical emergency. It is associated with a high risk of mortality if not diagnosed promptly. A Literature search has revealed only a few such cases. The exact etiology is variable and very often multifactorial. Early recognition and prompt surgical treatment along with broad-spectrum antibiotic therapy are of paramount importance to prevent mortality. In this report, we present the first case of necrotizing fasciitis of the breast following an insect bite in the literature, in a 57year-old diabetic patient with a delayed presentation that required a life-saving mastectomy.
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页数:7
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