A case of successful treatment of a patient with necrotizing infection of the soft tissues of the upper limb, complicated by septic shock, NPWT system with instillation

Necrotizing infection of the skin and soft tissues is a disease that is often accompanied by severe sepsis and septic shock. The fulminant nature of the course, complex differential diagnosis in the early stages of the disease determines the high mortality rate in patients with necrotizing infections. The presented clinical case provides an example of successful treatment of this pathology in a patient with severe comorbidity, in the complex treatment of which local negative pressure therapy was used at an early stage, before the end of the necrobiotic phase, during the course of the infectious process. Further management and preparation of the wound for closure was carried out using an installation type NPWT system.

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Publication Details

Journal
Pirogov Russian Journal of Surgery
Published
2024-11-25
DOI
https://doi.org/10.17116/hirurgia2024111114
Primary Topic
Streptococcal Infections and Treatments
Type
article
Field-Weighted Citation Impact
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article

A case of successful treatment of a patient with necrotizing infection of the soft tissues of the upper limb, complicated by septic shock, NPWT system with instillation

D. S. Sklizkov, Yu. S. Ostroumova, S. A. Shlyapnikov, А. Е. Демко et al.
Pirogov Russian Journal of Surgery
Streptococcal Infections and Treatments
article

A case of successful treatment of a patient with necrotizing infection of the soft tissues of the upper limb, complicated by septic shock, NPWT system with instillation

D. S. Sklizkov, Yu. S. Ostroumova, S. A. Shlyapnikov, А. Е. Демко, Norik A. Avetyan
article en

Abstract

Necrotizing infection of the skin and soft tissues is a disease that is often accompanied by severe sepsis and septic shock. The fulminant nature of the course, complex differential diagnosis in the early stages of the disease determines the high mortality rate in patients with necrotizing infections. The presented clinical case provides an example of successful treatment of this pathology in a patient with severe comorbidity, in the complex treatment of which local negative pressure therapy was used at an early stage, before the end of the necrobiotic phase, during the course of the infectious process. Further management and preparation of the wound for closure was carried out using an installation type NPWT system.

Pirogov Russian Journal of Surgery(11)
S. M. Kirov Military Medical Academy (RU), Saint-Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine (RU)
Good health and well-being
Openalex Percentile: Top 68%
Streptococcal Infections and Treatments
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