Primary Necrotizing Fasciitis of the Breast: Combined Use of Hyperbaric Oxygen and Negative-Pressure Wound Therapy to Conserve the Breast

Author(s):  
Francesco Marongiu ◽  
Andrea Giurdanella ◽  
Federico Buggi ◽  
Francesca Fiorentini ◽  
Daniele Alfio Vecchio ◽  
...  
2015 ◽  
Vol 51 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Patrick Maguire ◽  
Joseph M. Azagrar ◽  
Allan Carb ◽  
Arnold Lesser

A 5 mo old female Akita and a 1 yr, 5 mo old male German shorthaired pointer were both evaluated for soft-tissue lesions characterized by rapidly expanding edema, erythema, and pain. Ultrasound was utilized to locate and sample fluid accumulations, and β-hemolytic Streptococcus was isolated from the wounds. Development of systemic symptoms including fever, tachycardia, and tachypnea as well as a lack of response to medical management prompted surgical intervention in both cases. During surgical exploration and debridement, disruption of intermuscular tissue planes was appreciated and necrotizing fasciitis (NF) was suspected. Negative-pressure wound therapy systems utilizing 120 mm Hg of continual negative pressure were applied to wounds for 5 and 4 days for the Akita and German shorthaired pointer, respectively. Resolution of infection was achieved and although the lesions were associated with limbs, amputation was avoided. In both cases, the results of histopathology were consistent with NF. NF is recognized as a rapidly progressive infection associated with high rates of morbidity and mortality. Timely use of negative-pressure wound therapy appears to be a viable management tool to accompany surgical debridement, appropriate antibiotics, and analgesics.


2015 ◽  
Vol 82 (6) ◽  
pp. 290-294 ◽  
Author(s):  
Yoshiaki Mizuguchi ◽  
Satoshi Matsumoto ◽  
Hayato Kan ◽  
Michihiro Koizumi ◽  
Shou Kuriyama ◽  
...  

2013 ◽  
Vol 24 (7) ◽  
pp. 420-424 ◽  
Author(s):  
Muneaki Ohshita ◽  
Kensuke Umakoshi ◽  
Saori Otsubo ◽  
Satoshi Kikuchi ◽  
Takashi Nishiyama ◽  
...  

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