Techniques for early diagnosis and management of cervicofacial necrotising fasciitis

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The diagnosis and management of necrotising fasciitis

INTRODUCTION Necrotising soft tissue infections (NSTIs) were first described in 1871 as ‘hospital gangrene’ and they continue to carry a high mortality and morbidity rate[1]. Necrotising soft tissue infections are, as the name implies, infections that affect the soft tissue by causing necrosis. They spread along the fascial layers and can be either monobacterial or multibacterial in origin. Alt...

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Presentation and management of cervicofacial necrotising fasciitis: report of nine cases.

Cervicofacial necrotising fasciitis (CNF) is an acute soft tissue infection that primarily involves the subcutaneous, adipose and fascial planes of the head and neck region. Secondary ischaemia of the skin results in widespread ulceration and suppuration. It is imperative that early diagnosis is made and judicious medical and surgical intervention instituted. We present a case series of patient...

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Necrotising Fasciitis

Be aware that: Necrotising fasciitis is difficult to diagnose in its initial stages, as it mimics cellulitis. Important early clues are pain, tenderness and systemic illness out of proportion to the localised physical signs. Bullae and ecchymotic skin lesions also point to the condition (and are not normally found with cellulitis). [2] A high index of suspicion is necessary and suspected cases ...

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Necrotising Fasciitis

Introduction The term necrotising fasciitis (NF) was first coined in 1952 by Wilson1 to describe a rapidly progressive inflammation and necrosis of subcutaneous tissues and the deep layer of superficial fascia with sparing of the deep fascia and muscle. It had previously been described variously as haemolytic gangrene, acute streptococcal gangrene, gangrenous erysipelas, necrotising erysipelas,...

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Perforated carcinoma of the caecum presenting as necrotising fasciitis of the abdominal wall, the key to early diagnosis and management

BACKGROUND Necrotising Fasciitis is a life threatening soft tissue infection which requires aggressive, early surgical management. CASE PRESENTATION We present a rare case of a retroperitoneal perforation of a carcinoma of the caecum presenting as a necrotising fasciitis of the anterior abdominal wall. CONCLUSION This case highlights the importance of early aggressive debridement to healthy...

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ژورنال

عنوان ژورنال: The Journal of Laryngology & Otology

سال: 2010

ISSN: 0022-2151,1748-5460

DOI: 10.1017/s0022215110000514