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A Case of Necrotizing Fasciitis in an Uncontrolled Diabetic Alcoholic with a Small Untreated Wound
Journal of Korean Burn Society 2023;26(2):48-53
Published online December 1, 2023
© 2023 Journal of Korean Burn Society.

Chi Young Bang, M.D., Ph.D.1, Seung Ho Lee, M.D.1, Suk Joon Oh, M.D., Ph.D.1, Sang-Yeul Lee, M.D., Ph.D.1, Chanho Jeong, M.D.1 and Kun-Yong Sung, M.D., Ph.D.1,2

1Department of Plastic and Reconstructive Surgery, Kangwon National University Hospital, 2Department of Plastic and Reconstructive Surgery, Kangwon National University College of Medicine, Chuncheon, Korea
Correspondence to: Kun-Yong Sung, Department of Plastic and Reconstructive Surgery, Kangwon National University Hospital, 156 Baengnyeong-ro, Chuncheon 24289, Korea
Tel: 82-33-258-4909, Fax: 82-33-258-4920
E-mail: ps@kangwon.ac.kr
Received August 14, 2023; Revised September 25, 2023; Accepted October 2, 2023.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Necrotizing fasciitis is a deep soft tissue infection that includes the muscle fascia and subcutaneous fat. It is rare, but it causes necrosis of the muscle, fascia, and subcutaneous tissues. It advances quickly and becomes a life-threatening bacterial infection with high morbidity and mortality. Alcoholics with diabetes are especially vulnerable to necrotizing fasciitis and at high risk of progression to severe sepsis and septic shock. In that sense, early diagnosis and prompt treatment are important in the management of necrotizing fasciitis, especially in diabetic alcoholics. We recently treated necrotizing fasciitis on the left lower leg of a 55-year-old diabetic alcoholic who had not controlled blood sugar for 4 years. In our case, a minor burn wound on the left lower leg caused by the hot ramen soup progressed to necrotizing fasciitis within ten days. The patient who was diagnosed with necrotizing fasciitis of the left lower leg was successfully managed with prompt diagnosis, serial debridement, and a split-thickness skin graft while controlling blood sugar levels.
Keywords : Necrotizing fasciitis, Lower extremity, Alcoholic use disorder, Uncontrolled diabetes, Minor burn


December 2023, 26 (2)
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