[Necrotizing fasciitis of the thoracoabdominal wall complicating Dujarier's bandage: a case report]

Ann Chir Plast Esthet. 2013 Aug;58(4):362-6. doi: 10.1016/j.anplas.2010.12.002. Epub 2011 Mar 21.
[Article in French]

Abstract

The necrotizing fasciitis (NF) means a serious infection of the subcutis, the fascia and superficial dermis secondarily. We report the case of a patient with cellulitis NF of the thoracoabdominal wall complicating Dujarier's bandage. It was monobacterial NF caused by β hemolytic streptococcus, whose development was supported through an appropriate medical and surgical care. The situation mentioned is the occurrence of secondary infection of skin necrosis occurred in the bandage too tight opposite the support zone of the elbow on the trunk. We point out, through this case, the importance of the medicosurgical and also the importance of making any thoracoabdominal bandage, which could lead, if it is tight, a pressure sore can be a door entry for any NF plus a late diagnosis.

Keywords: Bandage de Dujarier; Dujarier's bandage; Fasciite nécrosante; Necrotizing fasciitis; Sepsis.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Abdominal Wall / surgery*
  • Adolescent
  • Anti-Bacterial Agents / therapeutic use
  • Bandages / adverse effects*
  • Combined Modality Therapy
  • Critical Care
  • Fasciitis, Necrotizing / diagnosis*
  • Fasciitis, Necrotizing / surgery*
  • Female
  • Humans
  • Immobilization*
  • Shoulder Dislocation / therapy*
  • Skin Transplantation / methods*
  • Splints / adverse effects*
  • Streptococcal Infections / diagnosis*
  • Streptococcal Infections / surgery*
  • Streptococcus pyogenes*
  • Thoracic Wall / surgery*

Substances

  • Anti-Bacterial Agents