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Ann Thorac Surg 2009;87:1613-1614. doi:10.1016/j.athoracsur.2008.10.019
© 2009 The Society of Thoracic Surgeons

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Case Reports

Adjunctive Use of Superoxidized Solution in Chest Wall Necrotizing Soft Tissue Infection

Mahadevan D. Tata, MD*, Kong C. Kwan, MD, Mohammed R. Abdul-Razak, MD, Sharminithevi Paramalingam, MD, Wing C. Yeen, MD

Division of Cardiothoracic Surgery, Department of Surgery, University of Malaya Medical Center, Kuala Lumpur, Malaysia

Accepted for publication October 10, 2008.

* Address correspondence to Dr Tata, Division of Cardiothoracic Surgery, Department of Surgery, University of Malaya Medical Center, Lembah Pantai, Kuala Lumpur, 59100, Malaysia (Email: madheaven{at}gmail.com).

A 39-year-old Indian man presented with necrotizing soft tissue infection of his right forearm and previously undiagnosed diabetes mellitus. The infection progressively worsened to involve his right lateral chest wall despite multiple debridements and systemic antibiotics. His right arm was eventually disarticulated along with wide debridement of the surrounding tissue. Aggressive wound debridement, mechanical scrubbing, and irrigation were then initiated every 8 hours. A superoxidized solution was later introduced as a wound irrigant and dressing agent. The large defect was suitable for split-thickness skin grafting after 16 days of a strict wound management routine with the superoxidized solution.







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