Abstract
Objective: A case report on the treatment of necrotizing fasciitis with the use of high frequency (HF) generator in a person with diabetes. Methods: This is descriptive study of applied nature developed in an outpatient clinic in Minas Gerais. The patient underwent dressing sessions three times a week for high frequency application. Healing was weekly evaluated using the Pressure Ulcer Scale Healing (PUSH) instrument and Image J software. Results: The area was significantly reduced, which was measured during six weekly evaluations. In the first four evaluations, a progressive reduction of the lesion was obtained in 11.78 cm², that is, 90% of the area. Conclusion: The use of the AF generator was effective in the treatment of necrotizing fasciitis, reducing the lesion area.
Highlights
Diabetes mellitus is one of the major chronic diseases a ecting the world’s population and is becoming a public health problem
Despite all the beneficial effects that qualify the high-frequency generator as a viable tool for treating injuries, there is a shortage of scientific studies on its use. Considering these facts, this study aimed to report the effects on the healing process in the treatment of necrotizing fasciitis, using the high frequency (HF) generator in a person with diabetes
In July 2018, after a waxing session, she presented a pustule in the right infragluteal region
Summary
Diabetes mellitus is one of the major chronic diseases a ecting the world’s population and is becoming a public health problem. Necrotizing fasciitis is a rare and severe infection characterized by extensive and rapidly progressive necrosis. It was described in 1871 by surgeon Dr Joseph Jones, the term necrotizing fasciitis began to be used by Wilson Ben in 1952, to describe its main characteristic: necrosis of the subcutaneous cellular tissue maintaining the underlying muscle preserved. It is characterized by extensive necrosis that can a ect the super cial fascia of soft tissues, the abdominal wall, limbs, and perineum, by venous thrombosis of small vessels and suppuration. Its treatment should be early, through the use of broad-spectrum antibiotics, aggressive surgical debridement, and clinical and nutritional support measures[2]
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