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Therapy of necrotising fasciitis in a cat
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A 10-year-old, domestic shorthair cat was presented for acute lameness of the left forelimb accompanied by severe pain, swelling, skin necrosis, malodorous discharge and pyrexia. Following a presumptive diagnosis of necrotising fasciitis aggressive surgical debridement of the affected soft tissues of the antebrachium and negative pressure wound treatment of the open defect were performed. A fascinating case report about a therapy which is often performed in human medicine but rare in veterinary practice.
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Surgical findings supported the tentative diagnosis of necrotising fasciitis and Streptococcus canis was isolated from the wound.
A free skin graft was performed 29 days after admission, and augmented by 3 days of negative pressure wound therapy to facilitate graft incorporation.
Healing was achieved without complications and no functional or aesthetic abnormalities remained.
Source: Nolff, M. C. and Meyer-Lindenberg, A. (2014), Necrotising fasciitis in a domestic shorthair cat – negative pressure wound therapy assisted debridement and reconstruction. Journal of Small Animal Practice. doi: 10.1111/jsap.12275
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