Necrotising Soft Tissue Infection (NSTI), an Atypical Complication of Pressure Ulcer: A Case Report
Published: 2024-02-12
Page: 48-52
Issue: 2024 - Volume 7 [Issue 1]
Norashikin Ahmad *
Department of General Surgery, Hospital Segamat, KM 6, Jalan Genuang, 85000 Segamat, Johor, Malaysia.
Aina Nazira Abdul Muttalib
Department of General Surgery, Hospital Segamat, KM 6, Jalan Genuang, 85000 Segamat, Johor, Malaysia.
Mohd Shafiq Rahman
Department of General Surgery, Hospital Segamat, KM 6, Jalan Genuang, 85000 Segamat, Johor, Malaysia.
Yogessvaran Krishnan
Department of General Surgery, Hospital Segamat, KM 6, Jalan Genuang, 85000 Segamat, Johor, Malaysia.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Infected pressure sore, also known as bedsore or pressure ulcer is a very common condition presented to hospitals especially in elderly and bedbound patients with reported incidence rate of 12%. Managing infected bedsore is challenging and involve multidisciplinary care. Unfortunately, despite best possible efforts, infected pressure sore may progress into necrotising soft tissue infection (NSTI).
Case Report: A 73-year-old lady presented to emergency department with infected pressure sore which turned out to be NSTI at gluteal region. She was treated aggressively with broad spectrum antibiotic and underwent multiple surgical debridement.
Conclusion: NSTI arising from pressure sores is rare but has high morbidity and mortality. Early diagnosis and treatment is crucial in handling such cases.
Keywords: Pressure, sore, ulcer, necrotising fasciitis