Necrotizing Fasciitis and Malpractice Claims

Fasciíte necrosante: revisão com enfoque nos aspectos dermatológicos

“…3 O tipo I é mais comum após cirurgias e em pacientes com diabetes e doença vascular periférica. 1 O tipo II ou gangrena estreptocócica é caracterizado pelo isolamento do Streptococcus do grupo A isolado ou associado ao Staphylococcus aureus. Ocorre tipicamente após ferimentos penetrantes, procedimentos cirúrgicos, queimaduras e traumas, os mínimos incluídos.…”

“…3 Type I most commonly occurs following surgery and in patients with diabetes and peripheral vascular disease. 1 Type II or streptococcus gangrene is characterized by the isolation of Group A Streptococcus, either alone or in association with Staphylococcus aureus. It typically occurs after penetrating injuries, surgical procedures, burns and traumas, including even the mildest varieties.…”

“…The very intense and disproportional pain is an important indication of NF, even after treatment begins. 1 Necrosis of the fascia is typically more extensive than what the clinical aspect suggests. With affliction of the deepest tissue layers, extensive necrosis crust formation may occur.…”

“…Fasciíte necrosante ( FN) é infecção bacteriana destrutiva e rapidamente progressiva do tecido subcutâneo e fáscia superficial, associada a altos índices de morbimortalidade. 1,2 A FN também tem sido referida como gangrena estreptocócica hemolítica, úlcera de Meleney, gangrena dérmica aguda, gangrena hospitalar, fasciíte supurativa e celulite necrosante sinergística.…”

“…Necrotizing fasciitis (NF) is a destructive and quickly progressing bacterial infection of the subcutaneous tissue and superficial fascia, associated with high levels of morbidity and mortality. 1,2 NF has also been referred to as hemolytic streptococcal gangrene, Meleney's ulcer, acute dermal gangrene, hospital gangrene, suppurative fasciitis and necrotizing synergistic cellulitis.…”