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Ginecología y obstetricia de México

Print version ISSN 0300-9041


TORRIENTE-VIZCAINO, Leandro; CUELLAR-HERRERA, Danelys  and  PEREZ-CASALES, Sergio. Abdominal necrotizing fasciitis in a patient of eleven-days pospartum. A case report. Ginecol. obstet. Méx. [online]. 2019, vol.87, n.2, pp.128-132.  Epub Mar 25, 2021. ISSN 0300-9041.


Necrotizing fasciitis is an uncommon progressive infection, with high lethality that can affect any part of the body, caused mostly by a polymicrobial infection affecting the superficial fascia, subcutaneous tissue, subcutaneous fat with nerves, arteries, veins and deep fascia.


A 28-year-old woman with a history of obesity and HIV, admitted to the Obstetrics Service with fever (39° C), chills and abdominal pain. A black-bluish lesion was observed, with defined edges of approximately 40 x 20 cm in the abdominal area, around the surgical wound, with blisters and great stench. Hematological study was carried out Hb: 10 g/L, C-reactive protein: 413, and Creatinine: 110 mg/dL. Culture sample of the ampoules is taken. The next day the complementary ones are repeated and Hb is observed: 8.5 g/L, C-reactive protein: 516, and Creatinine: 215 mg/dL; the result of the culture positive for Pseudomonas aeruginosa y Staphylococcus aureus. Endovenous treatment with antibiotics and surgical treatment was used. We observed satisfactory evolution of the patient without sequelae.


The opportune diagnosis of this pathology allows an early action, with the consequent survival of the patients.

Keywords : Necrotizing fasciitis; Polymicrobial infection; Puerperium.

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