Necrotizing fasciitis as a complication of depilatory cream

Necrotizing fasciitis (NF) is an infectious disease, which is characterized by rapidly progressive necrosis of the skin, subcutaneous tissue, and fascia. The skin is involved in the late stage of the disease. It is a very rare but a life-threatening condition if it is not diagnosed early and treated...

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Main Authors: Aydin Eray Tufan, Rumeysa İlbar Tartar, Banu Yiğit, Elif Baran, Hikmet Ihsan Eren, Bulent Citgez
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Turkish Journal of Plastic Surgery
Subjects:
Online Access:http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2021;volume=29;issue=4;spage=236;epage=239;aulast=Tufan
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author Aydin Eray Tufan
Rumeysa İlbar Tartar
Banu Yiğit
Elif Baran
Hikmet Ihsan Eren
Bulent Citgez
author_facet Aydin Eray Tufan
Rumeysa İlbar Tartar
Banu Yiğit
Elif Baran
Hikmet Ihsan Eren
Bulent Citgez
author_sort Aydin Eray Tufan
collection DOAJ
description Necrotizing fasciitis (NF) is an infectious disease, which is characterized by rapidly progressive necrosis of the skin, subcutaneous tissue, and fascia. The skin is involved in the late stage of the disease. It is a very rare but a life-threatening condition if it is not diagnosed early and treated promptly. Comorbidities and concomitant medications should be carefully considered when managing patients with NF. We present the case of a 92-year-old patient with diabetes mellitus diagnosed with NF that spreads to lower abdomen, bilateral inguinal region, and pubic area after applying a depilatory cream to the mons pubis and the area just below the pubic bone. Rapidly and aggressive surgical debridement of the necrotic tissue was applied and negative pressure wound therapy was immediately applied with a vacuum-assisted closure device (VAC). Broad-spectrum antibiotics were used to treat infection. After several VAC therapy applications during the treatment period, the final stage of the treatment was the reconstruction of the resulting defect with split-thickness skin graft. Early and aggressive debridement, broad-spectrum antibiotherapies constitute the mainstay of treatment. Concurrently, serial debridement and rapidly intervention also shorten healing time and hospital stay.
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spelling doaj.art-cbe16a4b347540478ff9a64092b3fcce2022-12-21T19:55:20ZengWolters Kluwer Medknow PublicationsTurkish Journal of Plastic Surgery2528-86442021-01-0129423623910.4103/tjps.tjps_130_20Necrotizing fasciitis as a complication of depilatory creamAydin Eray TufanRumeysa İlbar TartarBanu YiğitElif BaranHikmet Ihsan ErenBulent CitgezNecrotizing fasciitis (NF) is an infectious disease, which is characterized by rapidly progressive necrosis of the skin, subcutaneous tissue, and fascia. The skin is involved in the late stage of the disease. It is a very rare but a life-threatening condition if it is not diagnosed early and treated promptly. Comorbidities and concomitant medications should be carefully considered when managing patients with NF. We present the case of a 92-year-old patient with diabetes mellitus diagnosed with NF that spreads to lower abdomen, bilateral inguinal region, and pubic area after applying a depilatory cream to the mons pubis and the area just below the pubic bone. Rapidly and aggressive surgical debridement of the necrotic tissue was applied and negative pressure wound therapy was immediately applied with a vacuum-assisted closure device (VAC). Broad-spectrum antibiotics were used to treat infection. After several VAC therapy applications during the treatment period, the final stage of the treatment was the reconstruction of the resulting defect with split-thickness skin graft. Early and aggressive debridement, broad-spectrum antibiotherapies constitute the mainstay of treatment. Concurrently, serial debridement and rapidly intervention also shorten healing time and hospital stay.http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2021;volume=29;issue=4;spage=236;epage=239;aulast=Tufandepilatory creamnecrotizing fasciitisskin graft reconstructionvacuum-assisted closure
spellingShingle Aydin Eray Tufan
Rumeysa İlbar Tartar
Banu Yiğit
Elif Baran
Hikmet Ihsan Eren
Bulent Citgez
Necrotizing fasciitis as a complication of depilatory cream
Turkish Journal of Plastic Surgery
depilatory cream
necrotizing fasciitis
skin graft reconstruction
vacuum-assisted closure
title Necrotizing fasciitis as a complication of depilatory cream
title_full Necrotizing fasciitis as a complication of depilatory cream
title_fullStr Necrotizing fasciitis as a complication of depilatory cream
title_full_unstemmed Necrotizing fasciitis as a complication of depilatory cream
title_short Necrotizing fasciitis as a complication of depilatory cream
title_sort necrotizing fasciitis as a complication of depilatory cream
topic depilatory cream
necrotizing fasciitis
skin graft reconstruction
vacuum-assisted closure
url http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2021;volume=29;issue=4;spage=236;epage=239;aulast=Tufan
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AT rumeysailbartartar necrotizingfasciitisasacomplicationofdepilatorycream
AT banuyigit necrotizingfasciitisasacomplicationofdepilatorycream
AT elifbaran necrotizingfasciitisasacomplicationofdepilatorycream
AT hikmetihsaneren necrotizingfasciitisasacomplicationofdepilatorycream
AT bulentcitgez necrotizingfasciitisasacomplicationofdepilatorycream