Open AccessSpontaneous closure of an extensive postdebridement perineal wound in a newly diagnosed diabetic patient presenting with necrotizing fasciitis
Author(s) -
Muchuweti David,
Muguti Edwin,
Mungazi Simbarashe Gift
Publication year - 2020
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.2805
Subject(s) - medicine , fasciitis , debridement (dental) , surgery , surgical debridement , glycemic , septic shock , wound care , wound closure , diabetes mellitus , negative pressure wound therapy , colostomy , shock (circulatory) , wound healing , sepsis , pathology , endocrinology , alternative medicine
Diabetes mellitus may present for the first time with necrotizing fasciitis. Early treatment of septic shock and immediate surgical debridement reduces mortality. A diverting loop colostomy prevents soiling of extensive postdebridement wound. Local wound care together with good glycemic and infection control leads to spontaneous wound closure.