Necrotizing fasciitis: an urgent diagnosis
@article{PazMaya2013NecrotizingFA, title={Necrotizing fasciitis: an urgent diagnosis}, author={Silvia Paz Maya and Delfina Dualde Beltr{\'a}n and Pierre Lemercier and C. Leiva-Salinas}, journal={Skeletal Radiology}, year={2013}, volume={43}, pages={577-589} }
Necrotizing fasciitis (NF) is a rare, life-threatening soft-tissue infection and a medical and surgical emergency, with increasing incidence in the last few years. It is characterized by a rapidly spreading, progressive necrosis of the deep fascia and subcutaneous tissue. Necrotizing fasciitis is often underestimated because of the lack of specific clinical findings in the initial stages of the disease. Many adjuncts such as laboratory findings, bedside tests—e.g., the “finger test” or biopsy…
61 Citations
Necrotising fasciitis: a narrative review of the literature.
- MedicineBritish journal of hospital medicine
- 2021
A scoring system known as the Laboratory Risk Indicator for necrotising fasciitis was developed which has a positive predictive value of 92%.
Necrotizing Fasciitis: a Clinical Case and a Review of the Literature
- Medicine
- 2020
A case of a 42-year-old man with a complaint of erythema, fever and severe pain in his right leg 4 days before hospitalization, who was admitted and treated with a diagnosis of erysipelas and transferred to a purulentseptic ward with a fulminant picture of necrotizing fasciitis.
Management of Necrotizing Fasciitis and Its Surgical Aspects
- MedicineThe international journal of lower extremity wounds
- 2015
A classification for NF was presented concerning microbial cause, depth of infection, and anatomy, but the value of classification is not convincing.
Necrotizing Fasciitis: An Overview and 2 Illustrative Cases
- MedicineThe international journal of lower extremity wounds
- 2018
The symptoms and treatment of necrotizing fasciitis are reviewed and a hyaluronic-based extracellular matrix can be used to “fill in” with neodermis for the lost dermis and can create a wound bed most suitable for grafting.
Necrotizing fasciitis of the lower extremity: imaging pearls and pitfalls.
- MedicineThe British journal of radiology
- 2018
Although classically a clinical diagnosis, imaging is a powerful adjunct to facilitate early diagnosis in equivocal cases and compared to plain radiography, ultrasound, CT and MR provide higher sensitivity and specificity for the diagnosis of necrotizing fasciitis.
A Nearly Missed Case of Severe Necrotizing Soft Tissue Infection
- MedicineCureus
- 2020
A 65-year-old female who presented with lightheadedness and presyncope, with planned admission for an exacerbation of chronic obstructive pulmonary disease, was found to have an NSTI and had an extensive debridement followed by prolonged hospital stay.
Diagnostic Key Points and Surgical Management of Necrotizing Fasciitis: A Retrospective Study.
- MedicineThe international journal of lower extremity wounds
- 2021
Cases of NF that were treated with early incision and surgical abscess drainage required fewer surgeries and a shorter length of hospitalization, and surgeons should be more aware of NF and aim to make an early and accurate diagnosis using various approaches.
Skin-Sparing Débridement for Necrotizing Fasciitis in Children
- MedicinePlastic and reconstructive surgery
- 2016
This surgical management restricts skin excision to the area of definite skin necrosis, limiting skin excison to one-tenth of excised fascia, with long-term favorable cosmetic and functional results.
Monomicrobial Klebsiella pneumoniae Necrotizing Fasciitis With Liver Abscess: A Case Report and Literature Review
- MedicineAnnals of plastic surgery
- 2017
It is recommended that the metastatic lesions of a diabetic patient with necrotizing fasciitis undergo complete abdominal evaluation by the hematogenous route to avoid recurrence of liver abscess.
The clinical efficacy of laboratory risk indicator for necrotizing fascitis score in early diagnosis of patients with necrotizing fascitis
- Medicine
- 2021
Necrotic fascia and subcutaneous tissue infection is perhaps the most severe form of soft tissue infection and is potentially limb and life threatening.
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