Title:A Rare Case of Ischial Tubercle Pressure Sore with Secondary Periperineal Necrotizing Fasciitis
Volume: 26
Issue: 1
Author(s): Peiqi Wang, Yiyang Liu*, Junhua Wang, Qiaofeng Guo and Xiang Wang
Affiliation:
- Department of Orthopaedics, Tongde Hospital of Zhejiang Province, Hangzhou 310012, China
- Nanjing Drum Tower Hospital Clinical College of Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing 210008, China
Keywords:
Pressure ulcer, ischial tuberosity, perineum, necrotizing fasciitis, surgical debridement, antimicrobial therapy.
Abstract:
Background: Perineal necrotizing fasciitis, or Fournier's gangrene, is a rare but rapidly
progressing condition characterized by fascial necrosis. It is a severe, potentially life-threatening
infection requiring prompt diagnosis and standardized treatment to optimize patient outcomes.
Case Presentation: A 48-year-old woman with poorly controlled type 2 diabetes developed necrotizing
fasciitis of the right perineum secondary to an ischial tuberosity pressure ulcer. She had a
prior spinal cord injury resulting in sensory dysfunction in the lower limbs, which masked significant
pain. Management included surgical debridement, open wound care, antimicrobial therapy,
and a free skin graft for wound closure.
Conclusion: Effective treatment of necrotizing fasciitis relies on aggressive debridement and appropriate
antimicrobial therapy. This case highlights the importance of early recognition and intervention
to improve clinical diagnostic and management strategies.
