코로나바이러스감염증-19가 동반된 괴사성 근막염 환자를 성공적으로 치료한 1예
A Case of Successfully Treating a Patient with Necrotizing Fasciitis and COVID-19
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
COVID-19 requires quarantine for 7 days from the diagnosis, and 10−20 days for critically ill patients. Therefore, in patients with both necrotizing fasciitis and COVID-19, the prognosis may be poor as the treatment could be delayed. We would like to report our experience treating a patient with both necrotizing fasciitis and COVID-19 and discuss what should be prepared for the future. A 60-year-old man was quarantined after being diagnosed with COVID-19 but visited the hospital due to worsening sore throat and left facial swelling. He was in septic condition and severe gangrenous changes in left deep neck space were observed in the computed tomography. The patient was admitted to the negative-pressure intensive care unit according to the guidelines for treating COVID-19, and surgical drainage were performed. The patient showed gradual improvement, so was discharged after 145 days.
Abstract
COVID-19 requires quarantine for 7 days from the diagnosis, and 10−20 days for critically ill patients. Therefore, in patients with both necrotizing fasciitis and COVID-19, the prognosis may be poor as the treatment could be delayed. We would like to report our experience treating a patient with both necrotizing fasciitis and COVID-19 and discuss what should be prepared for the future. A 60-year-old man was quarantined after being diagnosed with COVID-19 but visited the hospital due to worsening sore throat and left facial swelling. He was in septic condition and severe gangrenous changes in left deep neck space were observed in the computed tomography. The patient was admitted to the negative-pressure intensive care unit according to the guidelines for treating COVID-19, and surgical drainage were performed. The patient showed gradual improvement, so was discharged after 145 days.
참고문헌 (14)
- 이선주, "괴사성 근막염에서 음압 상처치료 1예", 대한이비인후-두경부외과학회지, 55(12), pp.791~794 (2012), 대한이비인후과학회[DOI]
- "Guidelines in response to coronavirus disease 2019. 12nd ed" (2022)[URL]
- 진영주, "코로나바이러스감염증-19 대유행 시대에 기관절개술 시 고려사항과 표준 술기", 대한이비인후-두경부외과학회지, 64(9), pp.613~618 (2021), 대한이비인후과학회[DOI]
- Orhan A, "An unusual presentation of a patient with Covid-19 infection—Lemierre’s syndrome", Turk J Ear Nose Throat, 32(3), pp.68~70 (2022)
- Awobajo MD, "Retropharyngeal abscess : an unusual complication in a COVID-19 patient", Otolaryngol Case Rep, 20, pp.100312~ (2021)
- Özer F, "Sudden deep neck abscess formation in a patient with COVID-19", Turkiye Klinikleri J Case Rep, 29(3), pp.120~124 (2021)
- Shiraishi K, "Case of a deep neck abscess during treatment for COVID-19", Am J Case Rep, 23, pp.e936034~ (2022)
- Sideris AW, "Peritonsillar abscess and concomitant COVID-19 in a 21-yearold male", BMJ Case Rep, 13(9), pp.e238104~ (2020)
- Charlton AR, "COVID-19 pandemic—impact on deep neck space infections : a retrospective cohort study", Clin Otolaryngol, 48(3), pp.479~488 (2023)
- Clancy CJ, "Coronavirus disease 2019, superinfections, and antimicrobial development : what can we expect?", Clin Infect Dis, 71(10), pp.2736~2743 (2020)
- Singh AK, "Diabetes in COVID-19 : prevalence, pathophysiology, prognosis and practical considerations", Diabetes Metab Syndr, 14(4), pp.303~310 (2020)
- Vieira F, "Deep neck infection", Otolaryngol Clin North Am, 41(3), pp.459~483 (2008)
- El-Anwar MW, "ENT manifestation in COVID-19 patients", Auris Nasus Larynx, 47(4), pp.559~564 (2020)
- 한경열, "경부 심부 농양의 초음파 유도하 흡인 및 배농", 대한이비인후-두경부외과학회지, 52(4), pp.354~358 (2009), 대한이비인후과학회
