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Dikkatli olun: Nekrotizan fasiit olabilir

Be careful: It may be Necrotising fasciitis

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Abstract (2. Language): 
Necrotizing fasciitis is a life-threatening medico-surgical emergency and invasive soft-tissue infection which primarily involves the fascia superficialis and rapidly extends along subcutaneous tissue with relative sparing of skin and underlying muscles. Clinical presentation includes fever, signs of systemic toxicity and pain out of proportion to clinical findings. Cutaneous findings are so minimal early in the course of the disease that diagnosis become challenging. Delayed diagnosis and/or treatment correlates with poor outcome, leading to sepsis and/or multiple organ failure. Necrotizing fasciitis is being recognized with increasing frequency in persons with diabetes mellitus in the world. In this article; a case of necrotizing fasciitis of a diabetic patient admitted to emergency service was reported.
Abstract (Original Language): 
Nekrotizan fasiit; primer olarak fasia superficialisi tutan, hızla subkutanöz dokular boyunca uzanan, göreceli olarak deri ve altta yatan kaslara uzanabilen, hayatı tehdit edici invaziv bir yumuşak doku enfeksiyonudur ve önemli tıbbi-cerrahi acil durumlardan bir tanesidir. Klinik bulguları arasında; ateş, sistemik toksisite bulguları ve klinik bulgularla orantısız ağrı vardır. Hastalığın gidişi sırasında erken dönemde kutanöz bulgular minimal düzeydedir; bu durum tanıyı zorlaştırır. Gecikmiş tanı ve/veya tedavi zayıf cevapla ilişkilidir, sepsis ve/veya multiple organ yetmezliği ile ilişkilidir. Dünyada nekrotizan fasiit, diyabetik hastalarda artan oranlarda görülmektedir. Bu makalede, acil servise başvurmuş olan bir nekrotizan fasiitli diyabetik hasta açıklanmıştır.
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REFERENCES

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Correspondence:
Res.Ast.Dr. Nazif ERKAN
Flamingo 9 blokları d:39 Mavişehir/Karşıyaka
Izmir Turkey
tel: +90.505.5307807 fax: +90.232.2277201
mail: naziferkan@gmail.com

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