Korean J Med.  2009 Apr;76(Suppl 1):S140-S143.

A case of necrotizing fasciitis of the abdominal wall complicating a renal biopsy

• Han BH
• Eum EA
• Jung YS
• Rim H

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.

Keyword

Fasciitis; Necrotizing; Biopsy; Needle; Nephrotic syndrome

MeSH Terms

Abdomen
Abdominal Wall
Bacteria, Anaerobic
Biopsy
Connective Tissue
Diabetes Mellitus
Fasciitis
Fasciitis, Necrotizing
Humans
Immunosuppression
Muscles
Necrosis
Needles
Nephrotic Syndrome
Peripheral Vascular Diseases
Prognosis
Skin
Streptococcus
Substance Abuse, Intravenous