The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;76(1):140-143.
신조직 검사 후 발생한 괴사성 근막염 1예
한병호, 엄은아, 정연순, 임 학
A case of necrotizing fasciitis of the abdominal wall complicating a renal biopsy
Byoung-Ho Han, Eun-A Eum, Yeon Soon Jung, Hark Rim


Abstract
Necrotizing fasciitis is an uncommon fatal soft-tissue infection that is rapid and very destructive. It destroys the connective tissue between the skin and muscle. The microbiological causes of necrotizing fasciitis include mixed aerobic and anaerobic bacteria and group A streptococcus. Various host factors predispose to necrotizing fasciitis. Particularly, patients with diabetes mellitus, peripheral vascular disease, immunosuppression, advanced age, and intravenous drug abuse are at risk. The diagnosis of necrotizing fasciitis is based on a single or combination of clinical indicators, laboratory and radiological studies, and surgical biopsy. The prognosis for necrotizing fasciitis depends on early recognition and determination of the extent of necrosis. Here, a case of necrotizing fasciitis of the abdomen secondary to a renal biopsy, a rare complication, is reported. (Korean J Med 76:S140-S143, 2009)

Keywords :Fasciitis, Necrotizing, Biopsy, Needle, Nephrotic syndrome
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