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題 名 | Necrotizing Fasciitis Precedes Acute Ischemic Stroke--A Case Report=壞死性筋膜炎引發急性缺血性腦中風--罕見案例報告 |
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作 者 | 張容輔; 林煌基; 林育賢; 鄭舉緒; 陳柵君; 林上熙; 錢逸群; | 書刊名 | 臺灣整形外科醫學會雜誌 |
卷 期 | 28:3 2019.09[民108.09] |
頁 次 | 頁246-252 |
分類號 | 415.922 |
關鍵詞 | 壞死性筋膜炎; 急性缺血性腦中風; Necrotizing fasciitis; Stroke; |
語 文 | 英文(English) |
中文摘要 | 背景:壞死性筋膜炎是外科急症之一,且需要適當的抗生素治療甚至是加護病房照護。儘管如此,此種急症仍是有高死亡率和併發症,這個案例主要是報告一位壞死性筋膜炎的病人於治療過程中產生急性腦缺血之併發症。材料及方法:一位無其他疾病之四十一歲男性,因為創傷所致之右腋下壞死性筋膜炎,經過緊急筋膜切開手術及清創手術合併抗生素治療後,於治療後的第十四天併發左側肢體癱瘓。電腦斷層顯現右側中大腦動脈阻塞所致。結果:經過排除心房震顫及之前是否有潛在性中風或是休克等可能性後,我們推測此急性腦缺血乃是因為此次感染所致。結論:急性腦缺血可能因為嚴重的感染所致。雖然調閱文獻並未有提及因壞死性筋膜炎所致之併發症,但是其實此類感染確有可能如我們這個病人一樣有此嚴重的併發症。因此在治療壞死性筋膜炎時,除了要注意傷口之感染,也須同時注意病人的全身警訊,以提早察覺治療或是預防此併發症。 |
英文摘要 | Background: Necrotizing fasciitis is a fulminant and fatal infection. Early surgical debridement, administration of broad-spectrum antibiotics, and intensive critical care are crucial steps in necrotizing fasciitis treatment. However, the associated mortality and morbidity rates remain high. Acute brain ischemic stroke is reported to be triggered or preceded by acute infection; however, evidence of the association between necrotizing fasciitis and acute brain stroke is not currently available. We reported the rare case of a patient who presented with necrotizing fasciitis that preceded acute brain ischemic stroke. Materials and Methods: A 41-year-old man was diagnosed with necrotizing fasciitis of the right axilla after trauma. A rapidly progressive fulminant course of necrotizing fasciitis was noted, and he developed streptococcal toxic shock syndrome. An emergency operation was performed, and antibiotic treatment was administered for infection control. However, left hemiparesis was observed on day 14. Acute ischemic stroke of the right middle cerebral artery territory was detected through brain computed tomography (CT). Results: After serial debridement and pedicle scapular fasciocutaneous flap reconstruction of the right axilla for treating necrotizing fasciitis, the patient was discharged on day 59. The sequel was weakness of the left limbs. He is currently receiving rehabilitation using a device at a local hospital. Conclusion: Acute ischemic stroke may be triggered or preceded by a severe infection such as necrotizing fasciitis. Clinicians should consider the complication of acute ischemic stroke following necrotizing fasciitis. |
本系統中英文摘要資訊取自各篇刊載內容。