Necrotizing Fasciitis due to Candida Infection after Thyroid Surgery

Özet

Surgical site infections (SSIs) after thyroidectomy arevery rare as it is a clean case surgery, even the patterns for the use of prophylactic antibiotics is disputable. Cutaneous and subcutaneous tissue infections arethe most common type of SSIs that develop due tothe contamination of the skin flora pathogens duringsurgical incision. We report the case of a patient who,unlike the reports in the literature, developed necrotizing fasciitis due to Candida infection after total thyroidectomy. A 65-year-old male patient developed SSIprogressing to necrotizing fasciitis four days after totalthyroidectomy. Rapidly progressive necrosis was observed until antifungal treatment was initiated. Tissuedefect eventually recovered with complete epithelization 40 days after the operation.