par Barant, Stephanie 
;Radbata, Daniel ;Oberweis, Didier;Jacobs, D.;Marecaux, Gaëtan ;Zielonka, E.;Maréchal, M.
Référence Revue médicale de Bruxelles, 37, 3, page (178-182)
Publication Publié, 2016-06
;Radbata, Daniel ;Oberweis, Didier;Jacobs, D.;Marecaux, Gaëtan ;Zielonka, E.;Maréchal, M.Référence Revue médicale de Bruxelles, 37, 3, page (178-182)
Publication Publié, 2016-06
Article révisé par les pairs
| Résumé : | Necrotizing fasciitis (NF) is a rare infection (0,2 to 0,4/100,000 adults) of the dermis and hypodermis extending along muscular fascia1. The absence of pathognomonic symptoms makes its diagnosis difficult. Rapidly progressive, it is a life-threatening emergency whose prognosis is letal in 30 % of cases. Treatment of necrotizing fasciitis is mixed and involves aggressive surgical debridement and medical treatment with antibiotics and supportive agents. This article is presenting the case of a young woman who developed abdominal necrotizing fasciitis following a caesarean section. In forty-eight hours, the patient developed septic shock with an extensive and rapid destruction of her abdominal wall. After hysterectomy and multiple surgical debridements, evolution was favorable. After one month, a reconstruction of the abdominal wall could be performed. |
