TITLE:
Fascist Leg Necrosis at the Bocar Sidi Sall University Hospital (BSS) in Kati (Mali)
AUTHORS:
Abdoulaye Diarra, Assitan Koné, Amadou Traoré, Koniba Kéïta, Idrissa Tounkara Tounkara, Issa Traoré, Oumou Traoré, Boubacar Karembé, Madiassa Konaté, Oulématou Coulibaly, Modibo Togola, Daouda Diallo, Alhassane Traoré, Bkary Tientigui Dembélé, Ibrahim Diakité, Adégné Togo
KEYWORDS:
Necrotizing Fasciitis, Lower Limb, Kati, Mali
JOURNAL NAME:
Surgical Science,
Vol.13 No.3,
March
21,
2022
ABSTRACT: Necrotizing fasciitis is a bacterial dermo-hypodermitis of necrotizing
type with involvement of the superficial fascia of the
muscles. We report the case of a 50-year-old patient with necrotizing fasciitis
of the left leg following erysipelas. Clinical Case: A 50-year-old patient, received at the
emergency department for necrotizing wound of the left leg, evolving for 25
days. The examination of the patient made it possible to find: an alteration of
the general condition with a WHO score classified stage II. A necrotizing wound
of the lower 2/3 of the left leg and the dorsal side of the left foot allowing
pus to flow in places, the pedious pulse was well perceived, lymphadenopathy at
the root of the homolateral thigh. The complete blood count made it possible to
objectify a predominantly neutrophil hyperleukocytosis greater than
10,000/mm3. We first carried out a complete debridement of the
necrotic tissues, in a second time we took
the patient back to do the autocutaneous graft. The surgical follow-up
was simple. Conclusion: Necrotizing fasciitis is a serious infection, management is
multidisciplinary.