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Verfasst von:Leibig, Nico [VerfasserIn]   i
 Hirche, Christoph [VerfasserIn]   i
 Kneser, Ulrich [VerfasserIn]   i
 Kremer, Thomas [VerfasserIn]   i
Titel:Necrotizing fasciitis after central cenous catheter placement
Verf.angabe:Nico Leibig, Christoph Hirche, Volker J. Schmidt, Amir K. Bigdeli, Ulrich Kneser, Thomas Kremer
E-Jahr:2014
Jahr:15 Dec 2014
Umfang:3 S.
Fussnoten:Gesehen am 23.10.2020
Titel Quelle:Enthalten in: Surgical infections
Ort Quelle:Larchmont, NY : Liebert, 2000
Jahr Quelle:2014
Band/Heft Quelle:15(2014), 6, Seite 850-852
ISSN Quelle:1557-8674
Abstract:Background: Necrotizing fasciitis (NF) can appear after various penetrating or non-penetrating skin lesions. This is the first reported case in which NF occurred after a central venous line placement. Because of intubation and sedation of the critically ill patient, only local conditions can indicate NF although other decisive symptoms, such as pain out of proportion to physical findings, are not evaluable.Methods: Case report and review of the literature.Results: A 71-y-old male patient was admitted to the intensive care unit after spine surgery due to post-operative delirium. Because of respiratory failure he had to be intubated and sedated. Ten days after central venous line placement in the right subclavian vein a reddening and swelling of the insertion site was observed but considered as extravasation. When aggravation of the local symptoms occurred, the suspected diagnosis of NF was made and a radical debridement was performed immediately. After a second-look operation, defect closure with a free-flap transfer and split-thickness skin grafting could be achieved.Conclusions: The first report on NF in a critically ill patient due to a subclavian central intravenous line aims to encourage checking for iatrogenic soft tissue condition in sedated intensive care patients. These patients may have a greater risk of developing NF, because they often have predisposing factors such as diabetes, end-stage renal failure, and immune suppression.
DOI:doi:10.1089/sur.2014.074
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1089/sur.2014.074
 Volltext: https://www.liebertpub.com/doi/10.1089/sur.2014.074
 DOI: https://doi.org/10.1089/sur.2014.074
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1736484516
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