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DOI: 10.1055/a-1712-4166
Letaler Verlauf einer fulminanten nekrotisierenden Fasziitis und Clostridium-perfringens-Infektion nach Resektion eines Weichteil-Sarkoms
Fatal necrotizing fasciitis with clostridium perfringens infection following resection of soft tissue sarcoma of the thigh
Zusammenfassung
Vorgestellt wird der Fall eines 57-jährigen Patienten mit letalem Verlauf nach Resektion eines Myxofibrosarkoms am Oberschenkel. Auf dem Boden einer nekrotisierenden Fasziitis bei Mischinfektion von Staphylococcus lugdunensis und Clostridium perfringens mit Ausbildung ausgedehnter Myonekrosen kam es zu einem septischen Schock mit Hämolyse und Multiorganversagen. Die Autoren zeichnen den fulminanten Verlauf dieser sehr seltenen Komplikation nach onkologischer Resektion nach und diskutieren das chirurgische Vorgehen anhand aktueller Literatur.
Abstract
We present the case of a 57-year-old male patient with a fatal outcome after resection of a soft tissue sarcoma of the lateral thigh. A polymicrobial surgical site infection with Staphylococcus lugdunensis and Clostridium perfringens caused fulminant necrotising fasciitis with an additional gas gangrene. The patient suffered a severe sepsis with consecutive haemolysis and multiorgan failure. The authors recapitulate the deadly progress of a rarely reported complication after oncological resection. The therapeutic approach and surgical interventions are discussed based on the current literature.
Publication History
Received: 20 August 2021
Accepted: 15 November 2021
Article published online:
13 April 2022
© 2022. Thieme. All rights reserved.
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