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Obstet Gynecol Sci > Volume 55(9); 2012 > Article
Korean Journal of Obstetrics & Gynecology 2012;55(9):659-663.
DOI: https://doi.org/10.5468/KJOG.2012.55.9.659    Published online September 17, 2012.
A case of necrotizing fasciitis after cesarean delivery.
Ga Ul Mun, Eun Kyu Cho, Yun Sook Kim, Du Hyun Nam, Hyun Ju Lee
1Department of Obstetrics and Gynecology, Soonchunhyang University Cheonan Hospital, University of Soonchunhyang College of Medicine, Cheonan, Korea. drsook@schmc.ac.kr
2Department of Plastic Surgery, Soonchunhyang University Cheonan Hospital, University of Soonchunhyang College of Medicine, Cheonan, Korea.
3Department of Pathology, Soonchunhyang University Cheonan Hospital, University of Soonchunhyang College of Medicine, Cheonan, Korea.
Abstract
Necrotizing fasciitis (NF) is a rare, rapidly progressive and potentially fatal soft-tissue infection characterized by widespread severe infection of the deep soft tissue, including fascia. Predisposing conditions for NF include diabetes, malignancy, obesity, and chronic liver disease. Patients with suspected NF should be empirically and immediately managed with broad-spectrum antibiotics covering the commonly suspected organisms. And surgical debridement is the mainstay of treatment of NF. We experienced a very rare case of NF with 33-year-old healthy woman who presented with high fever, erythema, edema, and pustule on upper abdomen one day after cesarean section. NF was strongly suspected and immediate surgical intervention and broad spectrum antibiotics were used. We report it with a brief review of literatures.
Key Words: Necrotizing fasciitis, Cesarean delivery, Surgical intervention


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