{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T18:10:11Z","timestamp":1740161411291,"version":"3.37.3"},"reference-count":0,"publisher":"National Library of Serbia","issue":"5","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-sa\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004564","name":"Ministry of Education, Science and Technological Development of the Republic of Serbia","doi-asserted-by":"publisher","award":["41002"],"award-info":[{"award-number":["41002"]}],"id":[{"id":"10.13039\/501100004564","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["VSP","VOJNOSANIT PREGL","VOJNOSANITETSKI PREG"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>Introduction. Necrotizing fasciitis is a rare, progressive bacterial\n   infection of superficial fascia followed by secondary subcutaneous tissue\n   necrosis. We pressented a patient with massive fulminant lifethreatening\n   necrotising fasciitis after bellow-knee femoro-popliteal vein bypass grafting\n   successfully treated by antibiotics, surgical debridement and final skin\n   reconstruction using the Tierch method. Case report. A 61-year-old patient\n   was ad-mitted to the Vascular Surgery Clinic for below-knee femoro-popliteal\n   bypass grafting. He complained of intermittent claudication in the left leg\n   after 50 m, ankle brachial indexes were 0.45 on the left and 1.0 on the right\n   side. Femoropopliteal below-knee bypass grafting was done using the\n   autologous great saphenous vein. In the very next day, initial signs of skin\n   infection appeared including local inflammation, erythema, swelling and\n   cellulitis restricted to saphenectomy site. These changes had rapidly spread\n   in the following days on the deep tissue of the whole upper and lower leg,\n   including the groin and with clinical signs of life-threatening systemic\n   infection. Immediate surgical debridement was done followed by extensive\n   wound packing and wide spectrum antibiotics administration for the next 33\n   days when final skin reconstruction by the Tierch method was performed.\n   Interesting point is that this entire time wound swab was sterile.\n   Conclusion. In the presented case immediate surgical debridement, wide\n   spectrum antibiotics administration and consistent wound packing gave\n   satisfactory results in this life-threatening systemic infection. Wound swab\n   is not always a reliable indicator of the infection while clinical findings\n   and surgeons? experience are of great significance in rapid reaction to this\n   rare surgical complication.<\/jats:p>","DOI":"10.2298\/vsp1505469p","type":"journal-article","created":{"date-parts":[[2015,5,8]],"date-time":"2015-05-08T11:11:51Z","timestamp":1431083511000},"page":"469-472","source":"Crossref","is-referenced-by-count":1,"title":["Massive necrotizing fasciitis following bellow-knee arterial surgery: A therapeutic challenge"],"prefix":"10.2298","volume":"72","author":[{"given":"Petar","family":"Popov","sequence":"first","affiliation":[{"name":"Dedinje Cardiovascular Institute, Vascular Surgery Clinic, Belgrade + Faculty of Medicine, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Slobodan","family":"Tanaskovic","sequence":"additional","affiliation":[{"name":"Dedinje Cardiovascular Institute, Vascular Surgery Clinic, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vuk","family":"Sotirovic","sequence":"additional","affiliation":[{"name":"Dedinje Cardiovascular Institute, Vascular Surgery Clinic, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dragoslav","family":"Nenezic","sequence":"additional","affiliation":[{"name":"Dedinje Cardiovascular Institute, Vascular Surgery Clinic, Belgrade + Faculty of Medicine, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Djordje","family":"Radak","sequence":"additional","affiliation":[{"name":"Dedinje Cardiovascular Institute, Vascular Surgery Clinic, Belgrade + Faculty of Medicine, Belgrade"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1078","container-title":["Vojnosanitetski pregled","Military Medical and Pharmaceutical Journal of Serbia"],"original-title":[],"language":"en","deposited":{"date-parts":[[2023,5,29]],"date-time":"2023-05-29T11:16:26Z","timestamp":1685358986000},"score":1,"resource":{"primary":{"URL":"https:\/\/doiserbia.nb.rs\/Article.aspx?ID=0042-84501505469P"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.2298\/vsp1505469p","relation":{},"ISSN":["0042-8450","2406-0720"],"issn-type":[{"type":"print","value":"0042-8450"},{"type":"electronic","value":"2406-0720"}],"subject":[],"published":{"date-parts":[[2015]]}}}