Necrotizing Fasciitis, as a Dramatic Complication of Infectious Diseases, Remains a Significant Challenge for Doctors.
Introduction: Fasciitis is an inflammation of the fascia, the connective tissue that surrounds muscles, blood vessels, and nerves, which can rapidly progress to necrosis of these structures, leading to life-threatening situations. It is a polymicrobial infection caused by bacterial agents, fungi, vi...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Albanian Society for Trauma and Emergency Surgery
2025-07-01
|
| Series: | Albanian Journal of Trauma and Emergency Surgery |
| Subjects: | |
| Online Access: | https://journal.astes.org.al/AJTES/index.php/AJTES/article/view/455 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1839623326654267392 |
|---|---|
| author | Ermira Muco Najada Como Ylber Vata Amarildo Blloshmi Spiro Kacori Anxhela Nikolla |
| author_facet | Ermira Muco Najada Como Ylber Vata Amarildo Blloshmi Spiro Kacori Anxhela Nikolla |
| author_sort | Ermira Muco |
| collection | DOAJ |
| description | Introduction: Fasciitis is an inflammation of the fascia, the connective tissue that surrounds muscles, blood vessels, and nerves, which can rapidly progress to necrosis of these structures, leading to life-threatening situations. It is a polymicrobial infection caused by bacterial agents, fungi, viruses, and parasites, resulting in septicemia, multiorgan failure, septic shock, and potentially death. The LRINEC score is a valuable tool in diagnosing necrotizing fasciitis (NF).
Case Presentation: The patient is a 62-year-old woman with a history of Diabetes Mellitus type 2 and Bilinear Myelodysplasia, currently receiving high-dose corticosteroid therapy. She was recently diagnosed with Herpes Zoster affecting the S1, S2, S3, S4, and S5 dermatomes. Initially, she was treated for 8 days with antivirals and antibiotics for symptoms of fever, fatigue, and pain in the gluteal and lumbar regions. However, her condition worsened, prompting her readmission to the hospital, where she developed signs of sepsis. After imaging, laboratory tests, and consultations with surgeons, she was diagnosed with necrotizing fasciitis. Multidisciplinary management and complex therapy led to an excellent outcome.
Conclusion: Necrotizing fasciitis presents a significant diagnostic challenge due to its rarity and its clinical resemblance to other critical conditions. It is an urgent pathology that requires not only surgical intervention but also immediate medical attention. It has always intrigued healthcare professionals both locally and internationally. Early diagnosis remains the primary challenge, and the management of these patients by experienced senior surgeons is crucial for successful outcomes.
|
| format | Article |
| id | doaj-art-04eb79d28d5f4b33b47da2e2bc0c750b |
| institution | Matheson Library |
| issn | 2521-8778 2616-4922 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Albanian Society for Trauma and Emergency Surgery |
| record_format | Article |
| series | Albanian Journal of Trauma and Emergency Surgery |
| spelling | doaj-art-04eb79d28d5f4b33b47da2e2bc0c750b2025-07-20T17:43:47ZengAlbanian Society for Trauma and Emergency SurgeryAlbanian Journal of Trauma and Emergency Surgery2521-87782616-49222025-07-019210.32391/ajtes.v9i2.455Necrotizing Fasciitis, as a Dramatic Complication of Infectious Diseases, Remains a Significant Challenge for Doctors.Ermira MucoNajada Como0Ylber Vata1Amarildo Blloshmi2Spiro Kacori3Anxhela Nikolla4Infectious Diseases Service, University Hospital Center “Mother Theresa” Tirana, AlbaniaGeneral Surgery Service, University Hospital “Shefqet Ndroqi”, Tirana, AlbaniaUniversity Hospital Centre "Mother Theresa"3Radiology Service, University Hospital Center “Mother Theresa”, Tirana, AlbaniaInfectious Diseases Service, University Hospital Center “Mother Theresa” Tirana, AlbaniaIntroduction: Fasciitis is an inflammation of the fascia, the connective tissue that surrounds muscles, blood vessels, and nerves, which can rapidly progress to necrosis of these structures, leading to life-threatening situations. It is a polymicrobial infection caused by bacterial agents, fungi, viruses, and parasites, resulting in septicemia, multiorgan failure, septic shock, and potentially death. The LRINEC score is a valuable tool in diagnosing necrotizing fasciitis (NF). Case Presentation: The patient is a 62-year-old woman with a history of Diabetes Mellitus type 2 and Bilinear Myelodysplasia, currently receiving high-dose corticosteroid therapy. She was recently diagnosed with Herpes Zoster affecting the S1, S2, S3, S4, and S5 dermatomes. Initially, she was treated for 8 days with antivirals and antibiotics for symptoms of fever, fatigue, and pain in the gluteal and lumbar regions. However, her condition worsened, prompting her readmission to the hospital, where she developed signs of sepsis. After imaging, laboratory tests, and consultations with surgeons, she was diagnosed with necrotizing fasciitis. Multidisciplinary management and complex therapy led to an excellent outcome. Conclusion: Necrotizing fasciitis presents a significant diagnostic challenge due to its rarity and its clinical resemblance to other critical conditions. It is an urgent pathology that requires not only surgical intervention but also immediate medical attention. It has always intrigued healthcare professionals both locally and internationally. Early diagnosis remains the primary challenge, and the management of these patients by experienced senior surgeons is crucial for successful outcomes. https://journal.astes.org.al/AJTES/index.php/AJTES/article/view/455Necrotizing fasciitissepsisinfectious diseasesherpes zosterdiabetes mellituscorticosteroid therapy |
| spellingShingle | Ermira Muco Najada Como Ylber Vata Amarildo Blloshmi Spiro Kacori Anxhela Nikolla Necrotizing Fasciitis, as a Dramatic Complication of Infectious Diseases, Remains a Significant Challenge for Doctors. Albanian Journal of Trauma and Emergency Surgery Necrotizing fasciitis sepsis infectious diseases herpes zoster diabetes mellitus corticosteroid therapy |
| title | Necrotizing Fasciitis, as a Dramatic Complication of Infectious Diseases, Remains a Significant Challenge for Doctors. |
| title_full | Necrotizing Fasciitis, as a Dramatic Complication of Infectious Diseases, Remains a Significant Challenge for Doctors. |
| title_fullStr | Necrotizing Fasciitis, as a Dramatic Complication of Infectious Diseases, Remains a Significant Challenge for Doctors. |
| title_full_unstemmed | Necrotizing Fasciitis, as a Dramatic Complication of Infectious Diseases, Remains a Significant Challenge for Doctors. |
| title_short | Necrotizing Fasciitis, as a Dramatic Complication of Infectious Diseases, Remains a Significant Challenge for Doctors. |
| title_sort | necrotizing fasciitis as a dramatic complication of infectious diseases remains a significant challenge for doctors |
| topic | Necrotizing fasciitis sepsis infectious diseases herpes zoster diabetes mellitus corticosteroid therapy |
| url | https://journal.astes.org.al/AJTES/index.php/AJTES/article/view/455 |
| work_keys_str_mv | AT ermiramuco necrotizingfasciitisasadramaticcomplicationofinfectiousdiseasesremainsasignificantchallengefordoctors AT najadacomo necrotizingfasciitisasadramaticcomplicationofinfectiousdiseasesremainsasignificantchallengefordoctors AT ylbervata necrotizingfasciitisasadramaticcomplicationofinfectiousdiseasesremainsasignificantchallengefordoctors AT amarildoblloshmi necrotizingfasciitisasadramaticcomplicationofinfectiousdiseasesremainsasignificantchallengefordoctors AT spirokacori necrotizingfasciitisasadramaticcomplicationofinfectiousdiseasesremainsasignificantchallengefordoctors AT anxhelanikolla necrotizingfasciitisasadramaticcomplicationofinfectiousdiseasesremainsasignificantchallengefordoctors |