Diabetes Monit 2001;2(4):298-305.
당뇨병 환자에서 Streptococcus pyogenes 에 의한 Fournier`s gangrene 을 동반한 괴사성 근막염 1 예
정소연, 이영실, 유석동
A Case of Necrotizing Fasciitis with Fournier`s Gangrene Caused by Streptococcus Pyogenes in a Diabetic Patient
So Yeon Jung, Young Sil Lee, Seok Dong Yoo
Abstract
Necrotizing fasciitis is an uncommon rapidly progressive and destructive infection of soft tissue, caused by toxin-producing virulent bacteria. Recently there has been a dramatic increase in the recognition and reporting of necrotizing fasciitis due to Streptococcus pyogenes. It is commonly associated with toxic shock syndrome and is usually rapidly fatal if not promptly recognized and aggressively treated. Fournier's gangrene is a widely destructive, gangrenous process of the genitalia. Necrotizing fasciitis and Fournier's gangrene occur more common in diabetes. Early recognition, broad-spectrum antibiotics coverage and adequate debridement has been associated with improved survival. We report a case of necrotizing fasciitis caused by streptococcus pyogenes with Fournier's gangrene in a severe diabetic patient.
Key Words: Necrotizing fasciitis , Fournier`s gangrene , Streptococcus pyogenes
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