Abstract
Necrotizing fasciitis (NF) is an uncommon infection caused by microorganisms called 'flesh eating bacteria'. It remains a life-threatening condition associated with high mortality rate. Its location to the chest wall is exceptional. Herein, we report the case of a 39-year-old female, without comorbidity, presenting a NF of the chest wall complicating an empyema. We describe the surgical management with a three-step procedure: antibiotherapy-debridement, vacuum-assisted closure and delayed surgical reconstruction.
MeSH terms
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Adult
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Anti-Bacterial Agents / therapeutic use
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Combined Modality Therapy
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Debridement
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Empyema, Pleural / diagnosis
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Empyema, Pleural / microbiology*
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Empyema, Pleural / therapy
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Fasciitis, Necrotizing / diagnosis
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Fasciitis, Necrotizing / microbiology*
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Fasciitis, Necrotizing / therapy
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Female
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Humans
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Negative-Pressure Wound Therapy
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Skin Transplantation
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Streptococcal Infections / diagnosis
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Streptococcal Infections / microbiology*
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Streptococcal Infections / therapy
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Streptococcus milleri Group / isolation & purification*
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Surgical Flaps
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Thoracic Wall / diagnostic imaging
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Thoracic Wall / microbiology*
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Thoracic Wall / surgery
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Tomography, X-Ray Computed
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Treatment Outcome