Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve Pubget Overpricing |
lüll Necrotizing fasciitis: case report and review of literature Smeets L; Bous A; Heymans OActa Chir Belg 2007[Jan]; 107 (1): 29-36We report a case of necrotizing fasciitis of the lower limb. This medico-surgical emergency is a life-threatening invasive soft-tissue infection which primarily involves the fascia superficialis and rapidly extends along subcutaneous tissue with relative sparing of skin and underlying muscles. Clinical presentation includes fever, signs of systemic toxicity and pain out of proportion to clinical findings. Paucity of cutaneous findings early in the course of the disease makes diagnosis challenging. The confirmation of the diagnosis is often made after surgical debridement. Delay in diagnosis and/or treatment correlates with poor outcome, leading to sepsis and/or multiple organ failure. Radiologic studies including plain radiographs, CT-scan or MRI may help to diagnose necrotizing fasciitis. Prompt surgical debridement, intravenous antibiotics, fluids and electrolytes management and analgesia are mainstays of the therapy. Adjuvant treatments like clindamycin, hyperbaric oxygen therapy and intravenous immunoglobulins are discussed.|Amputation, Surgical[MESH]|Anti-Bacterial Agents/therapeutic use[MESH]|Debridement[MESH]|Fasciitis, Necrotizing/*diagnosis/therapy[MESH]|Female[MESH]|Humans[MESH]|Leriche Syndrome/complications[MESH]|Middle Aged[MESH]|Muscle, Skeletal/pathology[MESH]|Necrosis/etiology[MESH]|Pain/etiology[MESH]|Penicillins/therapeutic use[MESH]|Risk Factors[MESH]|Skin/pathology[MESH]|Substance-Related Disorders/complications[MESH] |