Fasciíte Necrotizante em paciente diabético

• Autor(a) principal: Soares, Felipe Gomes
• Data de Publicação: 2013
• Outros Autores: Pessanha, Aguina Lúcia Pimentel, de Barros Lemos, Lara Vianna
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/79
• topic: fasciíte necrotizante; diabetes mellitus; oxigenioterapia hiperbárica; necrotizing fasciitis; diabetes mellitus; hyperbaric oxygen therapy

Necrotizing fasciitis is a bacterial disease uncommon in soft tissue rapidly evolving, characterized by an impairment of the superficial fascia, deep venous thrombosis of small vessels and suppuration, and the skin and underlying muscle are initially preserved. It can affect any part of the body, most commonly abdominal wall members and the perineum. It is found more often in adults than in children, and as predisposing factors: type II diabetes, advanced age, cancer, peripheral vascular disease, trauma. The ideal treatment consists of wide surgical debridement, intensive care, the broad spectrum antibiotics, hyperbaric oxygen therapy. Objective: Describe the case of necrotizing fasciitis involving a patient with diabetes mellitus and the importance of early diagnosis. Case report: JSC Patient, 60, male, white, driver, diabetic, hypertensive, Campos dos Goytacazes resident was admitted to the University Hospital Álvaro Alvim edema, hyperemia and local heat in the left leg. The initial diagnosis was cellulitis of the left lower limb, being introduced ciprofloxacin and oxacillin. Was asked an echo color Doppler ultrasonography of the venous system and the left lower limb revealed the presence of an abscess in the left calf muscle and pulled the presence of deep venous thrombosis associated. It was suspected diagnosis of necrotizing fasciitis, confirmed by the vascular surgeon, and scheduled surgical drainage wide on the left leg. Conclusion: This report emphasized the importance of early diagnosis of necrotizing fasciitis and the importance of predisposing factors such as diabetes mellitus.