Cic edizioni internazionali
Il Giornale di Chirurgia

Necrotizing fasciitis associated with primary cutaneous B-cell lymphoma. A case report

Clinical practice, 130 - 134
doi: 10.11138/gchir/2017.38.3.130
Tag this article
Abstract
Enhanced HTML Full text PDF
Necrotizing fasciitis is a rapidly progressive and life-threatening infection of the deeper skin layers and subcutaneous tissues that moves along the facial planes.
Objectives. We present the rare case of a patient with necrotizing fasciitis associated with high malignancy b-cell lymphoma. Our purpose is to investigate the probable connection between the two pathologies and evaluate the importance of early surgical intervention.
Case report. 51-year old Caucasian woman presented at the E.R. with history of a painful left thigh over a week and fever up to 38,4°C over the last three days. Necrosis of the soft tissues and fascial planes were observed clinically. After the initial treatment and due to the patient’s multiple organ dysfunction (septic shock), she was transferred to the ICU were she was intubated resuscitated with IV fluids and given IV antibiotics. 24 hours after the admission it was decided that the patient should undergo surgery and an extensive debridement of the necrotic area was performed. The antibiogram of the blood culture revealed streptococcus pyogenes and she was administered penicillin while intubated and monitored in the ICU until the seventh postoperative day. On the eighth post-day she was transferred back to the surgical department, hemodynamically normal and stable. She was discharged one month later and she was referred to a plastic surgery center for the final reconstruction surgery.
Conclusions. This case highlights that the high index of suspicion and the early aggressive surgical intervention seems to be very critical to improve survival of the patients with necrotizing fasciitis.

Vol. XXXIX (No. 3) 2018 May - June

  1. Comparison of outcomes following intersphincteric resection vs low anterior resection for low rectal cancer: a systematic review
    Ursi P., Santoro A., Gemini A., Arezzo A., Pironi D., Renzi C., Cirocchi R., Di Matteo F.M., Maturo A., D'Andrea V., Sagar J.
    doi: 10.11138/gchir/2017.39.3.123
  2. Enterocutaneous fistula treatment: case report and review of the literature
    Assenza M., Rossi D., De Gruttola I., Ballanti C.
    doi: 10.11138/gchir/2017.39.3.143
  3. 3D MRI segmentation and 3D circumferential resection margin evaluation for a standard rectal cancer assessment
    Lorenzon L., Bini F., Quatrale M., Biondi A., Persiani R., Di Pietropaolo M., Landolfi F., Iannicelli E., Marinozzi F., Balducci G., D'Ugo D.
    doi: 10.11138/gchir/2017.39.3.152
  4. Thyroid neoplasms: surgical and cyto-histopathological connections on a six year cases study
    Fontana T., Izzo M., Venturelli P., Lentini V.L., Falco N., Gulotta L., Florena A.M., Cocorullo G.
    doi: 10.11138/gchir/2017.39.3.158
  5. P-POSSUM score: a prognostic instrument for postoperative complications in Crohn’s disease
    Falco N., Fontana T., Scrivano D., Tutino R., Licari L., Raspanti C., Melfa G.I., Cocorullo G.
    doi: 10.11138/gchir/2017.39.3.166
  6. Papillary thyroid microcarcinoma in super obese patient
    Ruggiero R., Bosco A., Pirozzi R., Bondanese M.C., Gualtieri G., Docimo L.
    doi: 10.11138/gchir/2017.39.3.173
  7. Combined Littre and Richter’s femoral hernia: an extremely rare intra-operative finding
    Ioannidis A., Karanikas I., Koutserimpas C., Velimezis G.
    doi: 10.11138/gchir/2017.39.3.177
  8. Concomitant small cell carcinoma and adenocarcinoma of the gallbladder: a case report
    Tornambè A., Aiello P.S.L., Tornambè G.
    doi: 10.11138/gchir/2017.39.3.181
  9. Small bowel intussusception due to malignant melanoma: primary lesion or metastases? A case report
    De Monti M., Pacchiarini L., Cestaro G., Peloni G., Fasoli F.
    doi: 10.11138/gchir/2017.39.3.184
  10. Three-trocar laparoscopic cholecystectomy under spinal anesthesia in a patient with asthma
    Tatulli F., Delcuratolo A., Caraglia A., Notarnicola A., Carbone F.P.N., Caputi A.
    doi: 10.11138/gchir/2017.39.3.188
Last Viewed articles: la lista degli ultimi x visitati.
  1. Necrotizing fasciitis associated with primary cutaneous B-cell lymphoma. A case report
    Spiridakis K.G., Intzepogazoglou D.S., Flamourakis M.E., Sfakianakis E.E., Daskalaki A.V., Vakonaki E.K.., Rahmanis E., Kostakis G.E., Christodoulakis M.S.
    doi: 10.11138/gchir/2017.38.3.130
credits