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Necrotizing fasciitis of cryptoglandular infection treated with multiple incisions and thread-dragging therapy:A case report

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World Journal of Clinical Cases 2021年第28期9卷 8537-8544页

作者： Xiao-Chun Tao De-Chang Hu Li-Xin Yin Chen Wang Jin-Gen Lu Department of Anorectal LongHua Hospital Shanghai University of Traditional Chinese MedicineShanghai 200032China

BACKGROUND Necrotizing fasciitis is a fulminant necrotizing soft tissue disease with a high fatality *** always starts with impact on the deep fascia rapidly and might result in secondary necrosis of the subcutaneous tissue,fascia,and ***,timely and multiple surgical operations are needed for the ***,the damage of skin and soft tissue caused by multiple surgical operations may require dermatoplasty and other treatments as a *** SUMMARY Here,we report a case of 50-year-old male patient who was admitted to our hospital with symptoms of necrotizing fasciitis caused by cryptoglandular infection in the perianal and perineal *** symptoms of necrotizing fasciitis,also known as the cardinal features,include hyperpyrexia,excruciatingly painful lesions,demonstration gas in the tissue,an obnoxious foul odor and *** results of postoperative pathology met the *** on the premise of complete debridement,multiple incisions combined with thread-dragging therapy(a traditional Chinese medicine therapy)and intensive supportive therapies including comprising antibiotics,nutrition and fluids were *** outcome of the treatment was *** patient recovered quickly and achieved ideal anal function and *** Timely and effective debridement and multiple incisions combined with thread-dragging therapy are an integrated treatment for necrotizing fasciitis.

关键词： Necrotizing fasciitis Cryptoglandular infection Traditional Chinese medicine Multiple incisions and thread-dragging therapy integrated treatment Case report

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