Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Study Volume 6 Issue 1

A Novel Approach to the Treatment of Necrotizing Fasciitis

Erin Koprince*, Mona Ramani and Alexander Perez

Founder and Surgeon at Aire Podiatry Studio, Western University of Health Sciences, United States

*Corresponding Author: Erin Koprince, Founder and Surgeon at Aire Podiatry Studio, Western University of Health Sciences, United States.

Received: September 01, 2022; Published: December 13, 2022

Abstract

In this case study, a 49-year-old male presents to the emergency room in acute respiratory distress. He was subsequently found to be septic and the cause was determined to be necrotizing fasciitis to the left lower extremity. The patient was admitted to the intensive care unit and taken to the operating room for emergent debridement. The patient continued to worsen after multiple debridements and a decision was made to attempt a final salvage procedure before amputation. Following the final radical debridement, the decision was made to incorporate a novel topical antimicrobial in the daily dressing changes. The first application was applied in the operating room and during daily dressing changes. The patient began to show immediate improvement and stabilized at post admission day 19. Skin grafting was successful and the patient was discharged to rehab. At the 6 week follow up appointment the patient had returned to work and was ambulating without assistive devices.
Our case report suggests that the use of a topical antimicrobial as ancillary therapy yields better outcomes in muscle preservation than traditional treatment methods alone. These results warrant further evaluation utilizing the addition of a topical antimicrobial to the treatment of necrotizing fasciitis in a randomized control study. The rarity of the disease makes this a difficult feat to accomplish, however the mortality of the disease makes it necessary.

Keywords: Necrotizing Fasciitis; Diagnosis; Liquefaction

References

  1. Wong CH and Wang YS. “The diagnosis of necrotizing fasciitis”. Current Opinion in Infectious Diseases 18 (2005): 101-106.
  2. Anaya DA., et al. “Predictors of mortality and limb loss in necrotizing soft tissue infections”. Archives of Surgery 140 (2005): 151-157.
  3. Wong C., et al. “The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: A tool for distinguishing necrotizing fasciitis from other soft tissue infections*”. Critical Care Medicine7 (2004): 1535-1541.
  4. Bilton BD., et al. “Aggressive surgical management of necrotizing fasciitis serves to decrease mortality: a retrospective study”. American Surgery 64 (1998): 397-400.
  5. Wong CH., et al. “Approach to debridement in necrotizing fasciitis”. American Journal of Surgery 196 (2008): 19-24.
  6. Menichetti F., et al. “Are there any reasons to change our behavior in necrotizing fasciitis with the advent of new antibiotics?” Current Opinion in Infectious Diseases 30 (2017): 172-179.

Citation

Citation: Erin Koprince., et al. “A Novel Approach to the Treatment of Necrotizing Fasciitis”.Acta Scientific Orthopaedics 6.1 (2023): 126-129.

Copyright

Copyright: © 2023 Erin Koprince., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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