日本救急医学会雑誌
Online ISSN : 1883-3772
Print ISSN : 0915-924X
ISSN-L : 0915-924X
炎症所見の改善にもかかわらず著明な病変の拡大を認めた壊死性筋膜炎3例の検討
坂野 勉吉岡 伴樹木村 眞一田中 礼一郎松山 重成渋谷 正徳
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1998 年 9 巻 10 号 p. 556-560

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Three cases of necrotizing fasciitis are presented. In all cases aggressive antibiotic therapy were performed soon after admission, and fever up, leucocytosis and elevation of CRP improved. However, a follow-up CT scan taken several days after admission revealed severe aggravation of lesions; surgical treatment was performed immediately. The amount of gas production was small compared with the area of necrosis in two cases. It was suggested during the follow-up, that X-ray's nor inflammatory findings such as body temperature, leucocyte and CRP do not necessarily reflect aggravation of the lesions, and that frequent CT scan is essential.

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