Anaerobic infection simulating necrotizing fasciitis, induced by liposuction for surgical treatment of siliconoma

2020 ◽  
Vol 33 (4) ◽  
Author(s):  
Vincenzo Maione ◽  
Laura Miccio ◽  
Raffaella Sala ◽  
Piergiacomo Calzavara‐Pinton
Keyword(s):  
Surgical Treatment ◽  
Necrotizing Fasciitis ◽  
Anaerobic Infection

Surgical treatment of necrotizing fasciitis

Burns ◽  
2007 ◽  
Vol 33 (1) ◽  
pp. S97
Author(s):  
A.F.P.M. Vloemans
Keyword(s):  
Surgical Treatment ◽  
Necrotizing Fasciitis

scholarly journals A 5-year retrospective analysis of Necrotizing fasciitis: A single center experiences

2015 ◽  
Vol 72 (3) ◽  
pp. 258-264 ◽  
Author(s):  
Aleksandar Kiralj ◽  
Zlata Janjic ◽  
Jelena Nikolic ◽  
Borislav Markov ◽  
Marija Marinkovic
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
The Body ◽  
Etiological Factor ◽  
Rapid Progression ◽  
Type I ◽  
Superficial Fascia ◽  
Clinical Center ◽  
Novi Sad

Background/Aim. Necrotizing fasciitis (NF) is usually an acute infection of superficial fascia with rapid progression in around soft tissue. If not promptly recognized and aggressively treated NF usualy leads to sepsis and multiorgan failure with fatal outcome, thus early diagnosis and prompt surgical treatment are crucial for healing of these patients. The aim of this article was to evaluate the clinical presentation of all patients with acute NF diagnosed and treated in surgical clinics of Clinical Center of Vojvodina, Novi Sad, Serbia. Methods. The medical records of patients treated for acute NF localized on a different parts of the body in Clinical Center of Vojvodina, Novi Sad, Serbia, during a 5- year period (from January 2008 to December 2012) were retrospectively evaluated. This study enrolled patients admitted via Emergency Center of Vojvodina with the diagnosis of acute NF either as the primary diagnosis or with the diagnosis at discharge after surgical treatment. Results. During a 5-year period there were 216 patients with final diagnosis of acute NF. Most of our patients (140 - 64.81%) were admitted with the initial diagnosis of cellulitis, abscesses, phlegmons or sepsis. Unfortunately, the clinical symptoms of acute NF were atypical at time of initial examination. Pain and swelling of the affected localization were the most presented bias of symptoms (183 - 84.72%). The majority of our patients were male (164 - 75.92%). Among the 216 patients, the most common pre-existing single factor was drug abuse (39 - 18.05%), followed by obesity (38 - 17.59%) and diabetes mellitus (31 - 14.35%). Trauma was most common etiological factor (22 - 10.8%) in infected wounds, followed by abdominal (15 - 6.94%) and orthopedic (11 - 5.09%) surgical intervention. In the present study idiopathic acute NF was diagnosed in 22 (10.18%) patients and more than one etiological factor were diagnosed in 20 (9.25%) patients. The majority of our patients had type I acute NF (172 - 79.62%) with Streptococcal species as the most common microorganism (125 - 71.02%). The most common localization was an extremity (151 - 69.90%). The minority of our patients had head and neck localization of infection (7 - 3.24%). Surgical treatment was performed in all the patients and most of them (183 - 84.72%) received the first surgery within 24 h. Other patients (23 - 10.64%) received operation after stabilization of general status or after getting the diagnosis of acute NF (unclear diagnosis on admission). During hospitalization, the most common complication among our patients was sepsis (156 - 72.22%). The mortality rate was 14.35%. Conclusion. Acute NF is a rare but very difficult and sometimes life-threatening disease of superficial fascia and around soft tissue. If acute NF is suspected, early radical excision of all the affected tissue with exploration and excision of superficial fascia with pathological and microbiological assessment are most significant for treatment. Appropriate antibiotics and intensive care setting to manage other organ failure of NF are recommended at the same time with surgery.

scholarly journals Post-traumatic occipital psoriatic plaque complicated by extensive necrotizing fasciitis of the head and neck: a case report and literature review

2018 ◽  
Vol 46 (8) ◽  
pp. 3480-3486 ◽  
Author(s):  
Paul Andrei Ţenţ ◽  
Mihai Juncar ◽  
Ovidiu Mureșan ◽  
Oana Cristina Arghir ◽  
Dan Marcel Iliescu ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Rare Case ◽  
Severe Infection ◽  
Cellular Tissue ◽  
Cervical Region ◽  
Psoriatic Plaque ◽  
Post Traumatic

Necrotizing fasciitis (NF) is a severe infection involving the superficial fascial layers, subcutaneous cellular tissue, and possibly skin. It usually has a fulminant evolution, rapidly leading to death in the absence of early diagnosis and aggressive surgical treatment. We herein report a rare case of NF secondary to a traumatized occipital psoriatic plaque in an alcoholic 47-year-old woman and compare this case with the published literature. The NF extended to the entire scalp, right face, and posterior and lateral cervical region. Despite the initially guarded prognosis, the patient’s survival emphasizes the importance of aggressive surgical treatment with wide excision of all necrotic structures without any aesthetic compromise.

Necrotizing fasciitis of the neck

1992 ◽  
Vol 106 (11) ◽  
pp. 1008-1010 ◽  
Author(s):  
H. S. Kaddour ◽  
G. J. C. Smelt
Keyword(s):  
Surgical Treatment ◽  
Necrotizing Fasciitis ◽  
The Other ◽  
Deep Fascia ◽  
Dental Infection ◽  
Serious Infection ◽  
Subcutaneous Tissues ◽  
Necrotizing Fascitis ◽  
Aerobic And Anaerobic

AbstractNecrotizing fascitis (N.F.) is a rare but serious infection of subcutaneous tissues and deep fascia with resulting skin gangrene and septicaemia. It is due to mixed anaerobic and aerobic organisms. It has been reported under a variety of synonyms.We describe two cases of necrotizing fasciitis of the neck probably secondary to chronic dental infection, one was diagnosed early and the other late with very different outcomes. We highlight the importance of early and aggressive surgical treatment to complement parenteral antibiotics covering both aerobic and anaerobic organisms.

scholarly journals Pediatric Necrotizing Fasciitis: Restitutio Ad Integrum after Early Diagnosis and Aggressive Surgical Treatment

2016 ◽  
Vol 04 (01) ◽  
pp. 034-036 ◽  
Author(s):  
Angela Lemaréchal ◽  
Sabine Zundel ◽  
Philipp Szavay
Keyword(s):  
Surgical Treatment ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Aggressive Therapy ◽  
Life Threatening ◽  
Condition Diagnosis ◽  
Restitutio Ad Integrum ◽  
Infectious Condition

Necrotizing fasciitis (NF) is a severe, life-threatening infectious condition. Diagnosis is difficult due to unspecific symptoms yet crucial for favorable outcomes. We report a case of a 1 year old, previously healthy boy, where early suspicion of NF led to prompt aggressive therapy and consecutive restitutio ad integrum.

scholarly journals OUR EXPERIENCE IN DIAGNOSIS AND TREATMENT OF NECROTIZING FASCIITIS

2021 ◽  
pp. 3-9
Author(s):  
E. Krasteva ◽  
V. Anastasova ◽  
E. Zunzov
Keyword(s):  
Surgical Treatment ◽  
Necrotizing Fasciitis ◽  
Abdominal Wall ◽  
Laboratory Data ◽  
Female Gender ◽  
Lower Limbs ◽  
Renal Diseases ◽  
Vacuum Therapy ◽  
Upper Limbs ◽  
Fournier Gangrene

Background: Necrotizing fasciitis (NF) is a severe, relatively rare and potentially deadly infection, which is usually caused by one or two pathogenic microorganisms. The target areas that are affected are the skin and the subcutaneous tissues of the lower and the upper limbs, the scrotum, the perineal region (Fournier gangrene) and the abdominal wall. The early diagnosis and aggressive surgical treatment are of great importance for the outcome of this potentially lethal disease.  Methods: Eleven patients with diagnosis of NF had been treated in the Clinic of Plastic and Reconstructive surgery of St. George Hospital, Plovdiv for a five-year period (2013-2018). Based on the demographic, clinical and laboratory data the presurgical, the following surgical treatment, and the postsurgical management were analyzed. Results: The mean age of the patients was 58.7 years (median: 56 years, range 37–87 years) and 75% were men. Old age (above 65 years) and female gender correlated significantly with lethality. Most often the regions affected were the perineum and the scrotum (46.8%), followed by lower limbs (35.5%), upper limbs and abdominal wall (8.1%). Diabetes mellitus, oncologic diseases, alcohol addiction and chronic hepatic and renal diseases were found to be predisposing factors for development of NF. We started treatment with broad spectrum antibiotics, early and vigorous drainage and meticulous debridement with wide excision of the damaged tissues. Vacuum therapy was applied as part of the treatment of the defects. It allowed continuous wound cleaning and accelerated formation of granulation tissue, followed by definite closure of the defect. Conclusion: The diagnosis of NF needs adequate proceedings and treatment of the cases among surgeons as its clinical presentation is unspecific. The prompt surgical debridement and excision is the mainstay in the treatment of all patients and repeated surgical excisions are required. Plastic surgery is an undeniable stage in the complex treatment of NF regarding the large size of the wound and necessity of definite closure of the soft tissue defects.

scholarly journals Early Diagnosis and Surgical Treatment for Necrotizing Fasciitis: A Multicenter Study

2017 ◽  
Vol 4 ◽  
Author(s):  
Evangelos P. Misiakos ◽  
George Bagias ◽  
Iordanis Papadopoulos ◽  
Nickolaos Danias ◽  
Paul Patapis ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Multicenter Study
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