scholarly journals Diagnostic parameters used in detecting of serious surgical soft tissue infection: Necrotizing fasciitis

2019 ◽  
Vol 19 (3) ◽  
Author(s):  
Liqaa Shallal Farhan
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Tissue Infection ◽  
Diagnostic Parameters

scholarly journals Necrotizing Fasciitis Caused by Photobacterium damselae: The First Case in Portugal

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Diogo Guimaraes ◽  
Luís Ribeiro ◽  
Luís Vieira ◽  
Ruben Coelho
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Acellular Dermal Matrix ◽  
Tissue Infection ◽  
Dermal Matrix ◽  
First Case ◽  
Photobacterium Damselae ◽  
Acellular Dermal ◽  
Severe Soft Tissue

Necrotizing fasciitis is a severe soft tissue infection with a high mortality rate and therefore requires emergent surgical treatment. Several microorganisms can cause this infection, Photobacterium damselae being one of them, with only eight cases previously published in the literature. We report the first ever case of necrotizing fasciitis, caused by this microorganism, in Portugal. In this case report the patient survived after several debridement procedures and reconstruction of the upper limb with acellular dermal matrix and skin graft. A brief review of the Photobacterium damselae soft tissue infection reports as well as the clinical presentation, diagnosis, pathophysiology and treatment of necrotizing fasciitis can also be found in this paper.

Necrotizing Fasciitis: A Review

2005 ◽  
Vol 41 (2) ◽  
pp. 104-109 ◽  
Author(s):  
Sarah L. Naidoo ◽  
Debbie L. Campbell ◽  
Lisa M. Miller ◽  
Andrea Nicastro
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Clinical Findings ◽  
Tissue Infection ◽  
Diagnosis And Treatment

Necrotizing fasciitis is a rapidly spreading, bacterial, soft-tissue infection reported in both humans and dogs. A review of the pathophysiology, clinical findings, diagnosis, and treatment of necrotizing fasciitis is presented, with the goal of familiarizing veterinarians with this uncommon but potentially fatal condition. A case report highlighting the fulminant course of this disease is also included.

scholarly journals Necrotizing Fasciitis of The Abdominal Wall Following Colonoscopy with Fatal Outcome - A Case Report

2019 ◽  
pp. 1-3
Author(s):  
Daniel Matz ◽  
Oleg Heizmann
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Group A Streptococcus ◽  
Subcutaneous Tissue ◽  
Fatal Outcome ◽  
Anaerobic Bacteria ◽  
Tissue Infection ◽  
Life Threatening ◽  
Staphylococcus Spp

Necrotizing fasciitis (NF) is a serious and potentially life threatening soft tissue infection, usually caused by different types of bacteria such as group A streptococcus, staphylococcus spp. (type 1 infection) or mixed infection by aerobic and anaerobic bacteria (type 2 infection). Usually, the infection arises from skin injury, in injections or surgical procedures and effects the fascia as well as the subcutaneous tissue. Overwhelming progression and difficulties in diagnosing are very common. Mortality rate is up to 100% depending on the type of soft tissue infection and did not markedly decrease in the past decades [1]. Here we present a case of NF with fatal outcome following colonoscopy, which was primarily suspected to be a post polypectomy syndrome.

scholarly journals Necrotizing fasciitis with ruminococcus

2008 ◽  
Vol 57 (2) ◽  
pp. 246-248 ◽  
Author(s):  
Murat Livaoğlu ◽  
Gürdal Yilmaz ◽  
Servet Kerimoğlu ◽  
Kemalettin Aydin ◽  
Naci Karacal
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Surgical Intervention ◽  
Tissue Infection ◽  
Rapid Progression ◽  
Gram Positive

Necrotizing fasciitis is a life- and limb-threatening soft tissue infection. Due to its underlying predisposition and rapid progression, treatment should be started quickly using antibiotherapy and surgical intervention. Although necrotizing fasciitis is mainly caused by streptococci and staphylococci, it may also be polymicrobial. Other peptostreptococci have been reported as necrotizing fasciitis agents in the literature, though we encountered no cases of necrotizing fasciitis caused by Ruminococcus productus. Here, we describe a case of necrotizing fasciitis caused by R. productus, a Gram-positive, obligatory anaerobe.

Vibrio vulnificus-Induced Necrotizing Fasciitis Complicated by Multidrug-Resistant Acinetobacter baumannii Infection: Efficacy of Chemical Necrectomy Using 40% Benzoic Acid

2021 ◽  
pp. 153473462110043
Author(s):  
Bretislav Lipový ◽  
Radomir Mager ◽  
Filip Raška ◽  
Marketa Hanslianová ◽  
Josef Blažek ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Benzoic Acid ◽  
Necrotizing Fasciitis ◽  
Acinetobacter Baumannii ◽  
Soft Tissue Infection ◽  
Vibrio Vulnificus ◽  
Tissue Infection ◽  
Diabetic Patients ◽  
High Morbidity ◽  
Life Threatening

Necrotizing fasciitis is a life-threatening skin and soft tissue infection associated with high morbidity and mortality in adult patients. This infection can present as either type 1 infection caused by a mixed microflora ( Streptococci, Enterobacteriacae, Bacteroides sp., and Peptostreptococcus sp.), most commonly developing in patients after surgery or in diabetic patients, or as type 2. The latter type is monomicrobial and, usually, caused by group A Streptococci. Rarely, this type can be also caused by other pathogens, such as Vibrio vulnificus. V vulnificus is a small mobile Gram-negative rod capable of causing 3 types of infections in humans—gastroenteritis, primary infection of the vascular bed, and wound infections. If infecting a wound, V vulnificus can cause a life-threatening condition—necrotizing fasciitis. We present a rare case of necrotizing fasciitis developing after an insect bite followed by exposure to the seawater. Rapid propagation of the infectious complication in the region of the right lower limb led to a serious consideration of the necessity of amputation. Due to the clearly demarcated necroses and secondary skin and soft tissue infection caused by a multiresistant strain of Acinetobacter baumannii, we, however, resorted to the use of selective chemical necrectomy using 40% benzoic acid—a unique application in this kind of condition. The chemical necrectomy was successful, relatively gentle and thanks to its selectivity, vital parts of the limb remained preserved and could have been subsequently salvaged at minimum blood loss. Moreover, the antimicrobial effect of benzoic acid led to rapid decolonization of the necrosis and wound bed preparation, which allowed us to perform defect closure using split-thickness skin grafts. The patient subsequently healed without further complications and returned to normal life.

Objective criteria may assist in distinguishing necrotizing fasciitis from nonnecrotizing soft tissue infection

2000 ◽  
Vol 179 (1) ◽  
pp. 17-20 ◽  
Author(s):  
Derek B Wall ◽  
Christian de Virgilio ◽  
Susan Black ◽  
Stanley R Klein
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Tissue Infection

scholarly journals A Rare Cause of Necrotizing Fasciitis: Psoas Abscess

2005 ◽  
Vol 12 (4) ◽  
pp. 242-245
Author(s):  
AYC Siu ◽  
SL Kwok ◽  
CH Chung ◽  
KK Lai
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Psoas Abscess ◽  
Fatal Case ◽  
Tissue Infection ◽  
Mortality And Morbidity ◽  
Group A ◽  
Clinical Tools ◽  
Very High

Necrotizing fasciitis always carries very high mortality and morbidity rates. It can be due to group A beta-haemolytic streptococci, which are traditionally described as the flesh-eating bacteria. More commonly, it is related to a mixed growth of bacteria that can be secondary to trauma or surgery. Secondary necrotizing fasciitis due to concomitant soft tissue infection is uncommon. We reported a fatal case of necrotizing fasciitis which was caused by a coexisting psoas abscess. A search for concomitant soft tissue infection is warranted in patients presenting with necrotizing fasciitis. This article also reviewed the clinical tools that may help to make an early diagnosis of the disease.

scholarly journals Necrotizing Fasciitis of the lower limbs

2012 ◽  
Vol 4 (1) ◽  
pp. 4 ◽  
Author(s):  
Paola Muggeo ◽  
Giampaolo Arcamone ◽  
Antonino Rizzo ◽  
Nicola Santoro
Keyword(s):  
Acute Lymphoblastic Leukemia ◽  
Soft Tissue ◽  
Medical Treatment ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Surgical Approach ◽  
Surgical Intervention ◽  
Lymphoblastic Leukemia ◽  
Tissue Infection ◽  
Lower Limbs

We report an uncommon ssevere soft-tissue infection of the thighs in a male child with acute lymphoblastic leukemia. Early and aggressive medical treatment and the conservative surgical approach were successful. Necrotizing fasciitis should be suspected in any soft-tissue infection until it can be definitely ruled out, since prompt deliver of medical and surgical intervention is essential.

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