Necrotizing Fasciitis: A Review

2005 ◽  
Vol 41 (2) ◽  
pp. 104-109 ◽  
Author(s):  
Sarah L. Naidoo ◽  
Debbie L. Campbell ◽  
Lisa M. Miller ◽  
Andrea Nicastro
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Clinical Findings ◽  
Tissue Infection ◽  
Diagnosis And Treatment

Necrotizing fasciitis is a rapidly spreading, bacterial, soft-tissue infection reported in both humans and dogs. A review of the pathophysiology, clinical findings, diagnosis, and treatment of necrotizing fasciitis is presented, with the goal of familiarizing veterinarians with this uncommon but potentially fatal condition. A case report highlighting the fulminant course of this disease is also included.

scholarly journals A study on role of laboratory risk indicator for necrotizing fasciitis score in necrotizing fasciitis

2019 ◽  
Vol 6 (11) ◽  
pp. 3901
Author(s):  
Narendra Prasad Narsingh ◽  
Anjana Nigam ◽  
Ramesh Kumar
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Age Groups ◽  
Clinical Findings ◽  
High Risk Group ◽  
Tissue Infection ◽  
Risk Indicator ◽  
Early Management ◽  
Lrinec Score

Background: Necrotizing fasciitis (NF) represents a group of highly lethal infection characterized by rapidly progressing inflammation and necrosis. The spectrum of disease ranges from necrosis of the skin to life threatening infection. Laboratory risk indicator for necrotizing fasciitis (LRINEC) score is only scoring system available so far to help us towards making an early and accurate diagnosis.Methods: The current prospective observational study was conducted in the Surgery OPD and emergency, Department of surgery, Dr. B.R. Ambedkar Memorial Hospital, Raipur, CG, India, during study period October 2017 to September 2018. Sample size was fixed at 100. Blood tests taken on admission were used to calculate the LRINEC score in each case.Results: In this study 55% of patients with soft tissue infections were categorized as low risk for progression of NF. Necrotizing soft tissue infection (NSTI) occurs in all age groups, ranging from 18 to 75 years. Clinical findings of crepitus were found in 33% of all patients of NSTI. 96% of the patients underwent debridement once, debridement was done twice in 3% of the patients while debridement was not done in 1% of the patients who belonged to high risk group and had no comorbidities. Out of 100, 3 patients underwent amputation. We found that there is mortality rate of 5%.Conclusions: NF was most severe form of soft tissue infection, potentially life and limb threatening. Early diagnosis of NF is essential for early management and better prognosis of patients.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

scholarly journals Scedosporium apiospermumcatheter-related soft-tissue infection: a case report and review of the literature

2012 ◽  
Vol 50 (6) ◽  
pp. 627-630 ◽  
Author(s):  
Carole Eldin ◽  
Laurent Chiche ◽  
Guillemette Thomas ◽  
Marie Pierre Dicostanzo ◽  
Jean Marc Durand ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Soft Tissue Infection ◽  
Tissue Infection ◽  
Review Of The Literature

scholarly journals Osteomyelitis Infection ofMycobacterium marinum: A Case Report and Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Hao H. Nguyen ◽  
Nada Fadul ◽  
Muhammad S. Ashraf ◽  
Dawd S. Siraj
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Literature Review ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Immunocompromised Patient ◽  
Skin Lesions ◽  
Immunocompromised Patients ◽  
Deep Soft Tissue ◽  
Invasive Infections

Mycobacterium marinum(M. marinum) is a ubiquitous waterborne organism that grows optimally at temperatures around 30°C. It is a nontuberculousMycobacteriumfound in nonchlorinated water with worldwide prevalence. It is the most common atypicalMycobacteriumthat causes opportunistic infection in humans.M. marinumcan cause superficial infections and localized invasive infections in humans, with the hands being the sites most frequently affected. It can cause skin lesions, which are either single, papulonodular lesions, confined to an extremity, or may resemble cutaneous sporotrichosis. This infection can also cause deeper infections including tenosynovitis, bursitis, arthritis, and osteomyelitis. Disseminated infections and visceral involvements have been reported in immunocompromised patients. We here report a case of severe deep soft tissue infection with necrotizing fasciitis and osteomyelitis of the left upper extremity (LUE) caused byM. marinumin an immunocompromised patient.

scholarly journals Necrotizing Fasciitis Caused by Photobacterium damselae: The First Case in Portugal

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Diogo Guimaraes ◽  
Luís Ribeiro ◽  
Luís Vieira ◽  
Ruben Coelho
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Acellular Dermal Matrix ◽  
Tissue Infection ◽  
Dermal Matrix ◽  
First Case ◽  
Photobacterium Damselae ◽  
Acellular Dermal ◽  
Severe Soft Tissue

Necrotizing fasciitis is a severe soft tissue infection with a high mortality rate and therefore requires emergent surgical treatment. Several microorganisms can cause this infection, Photobacterium damselae being one of them, with only eight cases previously published in the literature. We report the first ever case of necrotizing fasciitis, caused by this microorganism, in Portugal. In this case report the patient survived after several debridement procedures and reconstruction of the upper limb with acellular dermal matrix and skin graft. A brief review of the Photobacterium damselae soft tissue infection reports as well as the clinical presentation, diagnosis, pathophysiology and treatment of necrotizing fasciitis can also be found in this paper.

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