Evaluation of patients with an apparent skin infection must include consideration of the criteria that distinguish each diagnosis from the other, as necrotizing fasciitis requires hospitalization, broad-spectrum antibiotic therapy, and early surgical intervention.doi:10.1007/978-1-4614-8515-5_59Joshua A. RatnerSpringer New York
Necrotizing Fasciitis NFis a surgical diagnosis demonstrating friable deepfasciaand accumulation of inflammatory fluid that resembles dishwater. Although this is a very specific surgical diagnosis, it is quite apparent that NF is also associated with necrosis of skin,subcutaneous tissue, fascia, and in...
A retrospective analysis was performed of all non-transferred patients, presented to the emergency department of the University Medical Centre Utrecht with suspected necrotizing fasciitis. Inclusion criteria were age >18 and incisional biopsy or operation performed under the suspicion of necrotizing fasciiti...
We present here a case of extensive necrotizing fasciitis during sorafenib treatment in a patient with HBV-related hepatocellular carcinoma. Despite emergent extensive surgical debridement, the patient's clinical status progressive worsened until interruption of sorafenib therapy. The patient was successfully...
Abbreviations: NG, necrotizing fasciitis group; CG, control group. Discussion NF, a severe infectious disease, may cause a series of serious complications, such as muscle necrosis, amputation, or even death.2,22Given the challenges of early diagnosis and effective treatment, potential mechanisms of...
All patients were included in this study according to the following inclusion criteria: (1) age between 18 and 65 years; (2) diagnosis of GI fistula associated NSTIs according to clinical, radiological and histological find- ings. Patients who died or discharged within 48 h of admission was ...
The diagnosis was established by the presence of necrotic tissue at the time of surgery or by its presence as described in pathologic specimen reports (including autopsy reports). Once these criteria were met, patients were included in the study, and no further inclusion or exclusion criteria ...
In 2001, Andreasen and coworkers described the "Finger test" for the diagnosis of NF. Subsequent studies have suggested early recognition and management of NF. In this study, we compare the LRINEC鈥擫aboratory Risk Indicator for Necrotizing Fasciitis鈥攕coring system with the "Finger test" and ...
Wall, D B. Objective criteria may assist in distinguishing necrotizing fasciitis from nonnecrotizing soft tissue infection. Source: The American journal of surgery. 2000;179(1):17 -21.Wall DB, De Virgilio C, Black S, Klein SR. Objective criteria may assist in distinguishing necrotizing fasciitis...
From April of 1995 to December of 1997, 20 consecutive adult patients meeting clinical and/or histopathologic criteria for streptococcal necrotizing fasciitis were identified in the Toronto area. Of those, 16 (80 percent) were treated with greater than or equal to 1 mg/kg of intravenous ...