The Japanese Journal of Dermatology
Online ISSN : 1346-8146
Print ISSN : 0021-499X
ISSN-L : 0021-499X
Original Articles
A Case of Necrotizing Fasciitis that Developed Subcutaneous Necrotic Tunnels Throughout the Abdominal Wall
Hiroshi KogaSaki HirakataReiko KawasakiKyouko KameiFumiko YasukawaRyutaro IchikawaTomoko SaitoRyozo KobayashiNoriko UesugiShuhei Imayama
Author information
JOURNAL RESTRICTED ACCESS

2007 Volume 117 Issue 9 Pages 1439-1443

Details
Abstract

A 71-year-old Japanese woman with ill-controlled diabetes and hypertention noted tingling pain in the left genital skin after scratching, followed 2 weeks later by tenderness of the left lower abdomen with general fatigue. The patient consulted our hospital, since a prior treatment with antibiotics failed to mitigate the aggravation of her symptoms, skin lesion, or laboratory data including marked leukocytosis and increasing CRP. During her hospitalization, we performed debridment under general anesthesia twice as well as drainage three times, This revealed subcutaneous tunnels of 2–4cm in diameter anastomosing throughout the abdominal superficial fascia. The walls of the tunnels were demarcated by thick fibrous tissue and filled with necrotic material from which Peptostreptococcus micros was cultured. Clinical examinations disclosed an early stage carcinoma of her stomach that was excised curatively in the same admission period of 37 days.

Content from these authors
© 2007 Japanese Dermatological Association
Previous article Next article
feedback
Top