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ISSN 1405-0625 (Print)

2021, Number 2

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Cir Plast 2021; 31 (2)

Necrotizing fasciitis due to Klebsiella pneumoniae secondary to intramuscular gluteal injection managed with a negative pressure system

Barajas-Puga JÁ, Barajas-Rico R, López-Giacoman C

Language: Spanish
References: 17
Page: 68-71
PDF size: 251.01 Kb.


ABSTRACT

Necrotizing fasciitis is a serious, rare and fast progressing infection, which that is difficult to diagnose in the early stages. It produces thrombosis of the microcirculation with involvement of the subcutaneous cellular tissue and muscle fascia and is related to high mortality. Documented cases of necrotizing fasciitis in which Klebsiella pneumoniae is the etiologic agent are extremely rare and have a mortality rate of 70%. We present the case of a 57-year-old woman who developed necrotizing fasciitis after an intramuscular injection in the right gluteus. She was handled with negative pressure therapy at the General Hospital of Zacatecas "Luz González Cosío" showing a good progress, with satisfactory functional and aesthetic results. The negative pressure therapy facilitated the treatment and evolution of the patient considerably, favoring the granulation of the wound and the definitive closure. We underline highlight the usefulness of negative pressure therapy in the management and healing of wounds, staving off avoiding complex reconstructive surgeries.


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