ISSN: 2155-9554
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Department of Burns and Trauma, The First Affiliated Hospital, Naval Military Medical University, Changhai Rd, Shanghai, China
Case Report
Treatment for Giant Nape Carbuncle Complicated by Diabetic Ketoacidosis and Sepsis: A Case Report and Literature Review
Author(s): Xuexin Wang, Feng Zhu, Hongtai Tang, Shichu Xiao and Xiaoyan Hu*
Carbuncle is an infection of the hair follicle(s) that extends into the surrounding skin and deep underlying
subcutaneous tissue. We reported a case of giant carbuncle in the nape complicated by Diabetic Ketoacidosis (DKA)
and sepsis. A 72-year-old male patient, who had a history of diabetes for more than 30 years and suffered from
systemic sepsis due to a giant carbuncle in the nape for 2 weeks and complicated DKA, was admitted to our hospital
on December 9th, 2020. The patient significantly improved after active management with blood sugar control, antishock
therapy, systemic anti-infection, local excision of infected foci, and autologous meshed split-thickness skin
grafts to repair the wound. The patient recovered and discharged after 40 days. For carbuncles, we believe that the
most important therapy is to drain pus sufficiently or excise lesions, which is the.. View More»
DOI:
10.35248/2155-9554.22.13.619