Tüberkülozun erken bir belirtisi olarak nekrotizan fasiit: Ýki olgu sunumu

Nekrotizan fasiit ile tüberküloz birlikteliði son derece nadirdir. Tüberkülozun ilk klinik görüntüsünün histopatolojik yöntemle kanýtlanmýþ þekilde nekrotizan fasiit olduðu iki olgu sunuyoruz. Her iki olguda yinelenen cerrahi debridmanlar yapýldý. Bir olguda, ameliyattan bir yýl sonra bir sinüs akýntýsý kültüründe aside dirençli basil üredi. Diðer hastada, ameliyattan iki ay sonra pulmoner tüberküloz tanýsý kondu. Nükseden veya cerrahiye beklenmedik þekilde yavaþ yanýt gösteren nekrotizan fasiitli hastalarda tüberküloz tanýsýndan kuþkulanýlmalýdýr.

Necrotizing fasciitis as an early manifestation of tuberculosis: report of two cases

The association between necrotizing fasciitis and tuberculosis is extremely rare. We report two cases in which the initial clinical presentation of tuberculosis was that of necrotizing fasciitis proven by histopathology. Repeated adequate surgical debridement was performed in both. In one patient, acid-fast bacillus was cultured from a discharging sinus one year postoperatively. The other patient was diagnosed to have pulmonary tuberculosis two months postoperatively. The diagnosis of tuberculosis should be suspected in patients with necrotizing fasciitis with recurrence or unexpected slow response to surgery.