Necrotising Fasciitis
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چکیده
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 should be referred immediately. Prompt surgical debridement is essential.
منابع مشابه
Abdominal wall necrotising fasciitis secondary to fish bone ingestion
Abdominal wall necrotising fasciitis secondary to fish bone ingestion is extremely rare. We present a case of ingested fish bone complicated with self-sealing small bowel perforation and abdominal wall necrotising fasciitis. Following principles of necrotising fasciitis, a high index of suspicion led to early diagnosis and early treatment. The patient enjoyed a good recovery.
متن کاملRapidly fatal necrotising fasciitis caused by Streptococcus pyogenes.
AIMS To describe the morbid anatomical and bacteriological features in a series of five cases of rapidly fatal Streptococcus pyogenes necrotising fasciitis. METHODS Post mortem and bacteriological examinations were made of five patients dying within 48 hours from rapidly fatal necrotising fasciitis. RESULTS All five cases died rapidly from a toxic Streptococcus toxin syndrome as a result of...
متن کاملNecrotising 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,...
متن کاملFasciitis Necroticans after Elective Hernia Inguinal Surgery
Necrotising fasciitis is a rare but disastrous complication after elective surgery. We present two patients (both male, 58 and 18 years old) who developed necrotising fasciitis following elective inguinal hernia repair according to Lichtenstein. The importance of both recognition and time interval between symptom occurrence and surgical intervention is illustrated, emphasising the need for imme...
متن کاملSeasonal Variation of Group a Streptococcus (GAS) – Related Necrotising Fasciitis Cases in a UK Teaching Hospital
Objectives: Necrotizing fasciitis is a diverse syndrome primarily involving the fascia but also occasionally the overlying skin and underlying muscles. Non-necrotising lower limb cellulitis has been reported to have a marked seasonal variation in our area. We are describing the seasonal variation of our necrotising fasciitis cases. Methods: The medical records of all the patients that were admi...
متن کاملA fatal case of necrotising fasciitis of the eyelid.
A fatal case of necrotising fasciitis in a 35-year-old man is described and the differential diagnosis and management discussed.
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تاریخ انتشار 2017