Early and aggressive surgical debridement and negative pressure wound therapy to treat necrotizing fasciitis in three dogs

2021 ◽  
Author(s):  
Alicia Mastrocco ◽  
Jennifer Prittie
2019 ◽  
pp. 126-130
Author(s):  
Anna Michelle Waldie ◽  
Fiona S Lau ◽  
Jenny L Hepschke ◽  
Ian C Francis ◽  
Geoffrey Wilcsek

Necrotising fasciitis is a fulminant, rapidly progressive infection associated with extensive tissue destruction and significant mortality. Given the robust blood supply of the face, periorbital necrotising fasciitis is rare in this region. Traditional management consists of prompt initiation of antibiotics and adequate surgical debridement. This report documents the outcome of Type 2 periorbital necrotising fasciitis in a 49-year-old, immunocompetent man, in whom negative pressure wound therapy, was combined with conventional measures. The negative pressure wound therapy was applied directly to the involved orbit, suggesting its safety and efficacy in relation to use over the orbit. Negative pressure wound therapy may be a useful adjunct to the armamentarium of the oculoplastic surgeon for the reconstruction of periorbital defects produced by the surgical debridement of periorbital necrotising fasciitis.


Medicine ◽  
2016 ◽  
Vol 95 (50) ◽  
pp. e5397 ◽  
Author(s):  
Christopher N.J. Young ◽  
Ka Ying Bonnie Ng ◽  
Vanessa Webb ◽  
Sarah Vidow ◽  
Rajeswari Parasuraman ◽  
...  

2015 ◽  
Vol 51 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Patrick Maguire ◽  
Joseph M. Azagrar ◽  
Allan Carb ◽  
Arnold Lesser

A 5 mo old female Akita and a 1 yr, 5 mo old male German shorthaired pointer were both evaluated for soft-tissue lesions characterized by rapidly expanding edema, erythema, and pain. Ultrasound was utilized to locate and sample fluid accumulations, and β-hemolytic Streptococcus was isolated from the wounds. Development of systemic symptoms including fever, tachycardia, and tachypnea as well as a lack of response to medical management prompted surgical intervention in both cases. During surgical exploration and debridement, disruption of intermuscular tissue planes was appreciated and necrotizing fasciitis (NF) was suspected. Negative-pressure wound therapy systems utilizing 120 mm Hg of continual negative pressure were applied to wounds for 5 and 4 days for the Akita and German shorthaired pointer, respectively. Resolution of infection was achieved and although the lesions were associated with limbs, amputation was avoided. In both cases, the results of histopathology were consistent with NF. NF is recognized as a rapidly progressive infection associated with high rates of morbidity and mortality. Timely use of negative-pressure wound therapy appears to be a viable management tool to accompany surgical debridement, appropriate antibiotics, and analgesics.


2015 ◽  
Vol 82 (6) ◽  
pp. 290-294 ◽  
Author(s):  
Yoshiaki Mizuguchi ◽  
Satoshi Matsumoto ◽  
Hayato Kan ◽  
Michihiro Koizumi ◽  
Shou Kuriyama ◽  
...  

Author(s):  
Eran Tamir ◽  
Aharon S. Finestone ◽  
Itay Wiser ◽  
Yoram Anekstein ◽  
Gabriel Agar

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