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Re: Necrotizing fasciitis post Cesarean From: Anna Meenan, MD (annam@uic.edu) Fri Sep 23 16:23:03 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: Necrotizing fasciitis post Cesarean" Previous message: RModugno@aol.com: "Necrotizing fasciitis post Cesarean" In reply to: RModugno@aol.com: "Necrotizing fasciitis post Cesarean" Next in thread: art fougner, md: "Re: Necrotizing fasciitis post Cesarean" Reply: art fougner, md: "Re: Necrotizing fasciitis post Cesarean" OK, the first thing that popped into my head when I read this was this: What would the fallout be if this had happened to Brittany Spears after her recent elective primary c-section? Something to think about for those of you who do elective primaries. -- Anna Meenan, MD At Fri, 23 Sep 2005, RModugno@aol.com wrote: > >Recent scary case: > >19 year old Black primigravida, weight 190 lbs ,GBS negative, had C/S in >labor for breech. No history of diabetes. >Benign post -partum course. >Presents to ER 12 days post-partum with foul-smelling "dishwater discharge" >from left lateral end of wound and edema of the left abdominal wall up to >axilla. > >CT Scan reveals - normal post cesarean uterus and adnexa with gas in the >anterior abdominal wall consistent with clinical fiidings >First thought: call general surgeon! > >Seen by general surgeon(trained at Charity, NOLA!). > >Wound "fileted" in OR - necrotizing fasciitis. Hockey stick incisionn over >section wound and up left side. to left rib cage. Wound debrided. Has had third > debriding in OR- now has wound vac in place and tissue looking pink. I think >we have turned the corner! I'm holding my breath. >Cultures: mixed aerobes anerobes, staph, strep. >Dealt with plenty of wound infections in South Africa and in the USA, but >nothing like this. > >Robert Modugno MD MBA FACOG >Marietta, GA Next message: DoctorJoe@aol.com: "Re: Necrotizing fasciitis post Cesarean" Previous message: RModugno@aol.com: "Necrotizing fasciitis post Cesarean" In reply to: RModugno@aol.com: "Necrotizing fasciitis post Cesarean" Next in thread: art fougner, md: "Re: Necrotizing fasciitis post Cesarean" Reply: art fougner, md: "Re: Necrotizing fasciitis post Cesarean"

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