Management strategy of necrotizing soft tissue Infection in immunocompromised patients /
استراتيجيات علاج الالتهابات النخرية في الأنسجة الرخوة للمرضى ذوي المناعة المنخفضة
Maged Mostafa Elsayed Elmatpoly ; Supervised Hussein Mahmoud Khairy , Kareem Raaouf Sallam , Mohamed Mahmoud Raslan
- Cairo : Maged Mostafa Elsayed Elmatpoly , 2014
- 85 P. : facsimiles ; 25cm
Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery
Purpose: This study was designed to evaluate the outcome of delayed debridement in immunocompromised patients presenting with necrotizing soft tissue infection. Patients & Methods: This study included the immunocompromised pediatric patients with cancer or on cancer treatment who present with necrotizing soft tissue infection in both Children Cancer Hospital and the pediatric oncology department of National Cancer Institute. After stabilization of the general condition of the patients and improvement of the local condition by developing line of demarcation between the necrotic area and inflamed area the patients underwent delayed debridement in the theatre with excision as less damaged dead tissue as possible. Results: Our study included 20 patients, 13 males and 7 females with age ranging from 9 months to 16 years, the patients developed NSTI during cancer therapy. In 16 patients cannula site infection was postulated to be the triggering event of NSTI