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Inicio Cirugía Española (English Edition) Necrotizing Fascitis of the Axila
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Vol. 93. Issue 10.
Pages e133 (December 2015)
Vol. 93. Issue 10.
Pages e133 (December 2015)
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DOI: 10.1016/j.cireng.2015.08.001
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Necrotizing Fascitis of the Axila
Fascitis necrosante de la axila
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Daniel Martínez-Gonzáleza,
Corresponding author
dani.martinezgonzalez@gmail.com

Corresponding author.
, Ana María Paulos-Gómeza, Rogelio Conde-Freirea, Iván Couto-Gonzálezb
a Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
b Servicio de Cirugía Plástica, Estética y Reparadora, Hospital Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, Spain
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A 65-year-old woman consulted with her primary care physician about a left axillary abscess that had been progressing during the previous week; treatment with macrolides was started. 48h later, she was admitted to hospital in septic shock. CT showed cellulitis and fasciitis with involvement of the abdominal and chest wall muscles, left shoulder and arm, and areas of subcutaneous emphysema (Fig. 1). With a suspected diagnosis of necrotising fasciitis, we performed debridement of the left axilla and abdominal/thoracic walls. In the samples collected, methicillin-sensitive Staphylococcus aureus strains were observed. Antibiotic therapy was continued and negative-pressure wound therapy was applied until it was possible to cover the defect with a Latissimus dorsi myocutaneous flap.

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Diagnosis: necrotising fasciitis caused by methicillin-sensitive Staphylococcus aureus.

Please cite this article as: Martínez-González D, Paulos-Gómez AM, Conde-Freire R, Couto-González I. Fascitis necrosante de la axila. Cir Esp. 2015;93:e133.

Copyright © 2015. AEC
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