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Severe acinetobacter necrotizing fascitis following open reduction and tension band wiring for patella fracture: A case report

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Case Report

Author Details : Sherashah F Kammar, Adiveppa A Hosangadi, Vinay Pawar, Rajesh B Naik*

Volume : 10, Issue : 3, Year : 2024

Article Page : 285-288

https://doi.org/10.18231/j.ijos.2024.045

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Abstract

Necrotizing fasciitis (NF) is a rare form of bacterial infection that leads to necrosis of the fascia, skin, subcutaneous tissues and vasculature surrounding them; high mortality rate and morbidity make it a major concern. Here, a young male of 27 years who was previously healthy, came to the Emergency department for motor vehicle accident. It was determined that he suffered a closed transverse fracture of the left patella for which he undergoes open reduction and Tension band wiring. Post operatively a patient started with clinical image of necrotizing fasciitis like erythema, tenderness, blisters, and skin necrosis. Microbiological examination of the cultures unraveled that Acinetobacter species sensitive to meropenem. The patient was taken to the operation room for the fasciotomy and subsequently debridement of the wound was done to deal with the sepsis. Split skin graft was harvested and then placed on the wound site to facilitate the healing. At six month follow-up, the wound had closed adequately with a perfect outcome. An early diagnosis and a timely surgical debridement, the use of targeted antibiotic therapy, and the practice of vigilant wound care are essential strategy needed to prevent the complications and to see the best recovery.
 

Keywords: Necrotizing fascitis, Acinetobacter, Post operative infection.

How to cite : Kammar S F, Hosangadi A A, Pawar V, Naik R B, Severe acinetobacter necrotizing fascitis following open reduction and tension band wiring for patella fracture: A case report. Indian J Orthop Surg 2024;10(3):285-288

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