Staging of necrotizing fasciitis based on the evolving cutaneous features

Abstract

This study has demonstrated the continuum of cutaneous manifestations as necrotizing fasciitis evolves. This will help in the early recognition and intervention of this devastating condition.

Severe monobacterial necrotizing soft tissue infection by group A Streptococcus: A surgical emergency

“…In our cases the progression from stage 1 to stage 3 based on Wang et al description was extremely fast indicating an aggressive form of the disease [16] . Surgical intervention and exploration remains the most sensitive diagnostic tool and the cornerstone of therapy [2,3,8] , especially in highly aggressive forms of the disease.…”

Necrotizing Soft Tissue Infection in Dog – Case Report

“…Even though these signs are common, it is important to mention that their absence does not exclude the existence of infection (CABALLERO et al, 2012;SHIROFF et al, 2014;WONG;TAY, 2007).…”

“…Cutaneous sensitivity which exceeds the areas of visible changes in the skin is one of the most important physical signs for diagnosis. A combination of lack of sensitivity in the visibly affected area and acute systemic toxicity are highly suggestive of the presence of NSTI (SHIROFF et al, 2014;WONG;TAY, 2007;LING, 2014).…”

Early diagnosis and management of Necrotizing Fasciitis

“…A conclusion might elaborate on the importance of the work or suggest applications and extentions Even though early diagnosis and surgical intervention of NF can reduce mortality and morbidity including amputation rates, it is a major diagnostic challenge because, pathognomonic signs are absent in most of the cases [32]. But still a high index of suspicion will prompt any clinician to make early diagnosis based on clinical findings depending upon the stage of the disease at the time of presentation and [2,3,6,8,15,16]. Cellulitis and abscess are quiet often misdiagnosed as NF.…”

“…Clinical features typical of a NF include agonising pain, tenderness beyond erythematous areas, blister or bullae formation, swelling of muscle compartments, which may give rise to a compartment syndrome, and rapid progression of invading microorganisms through tissue planes [14]. Wang Y et al Staged necrotising fasciitis based on the evolving cutaneous features [15] (TABLE 1). Many studies by Park et al [16], Hsiao et al [17], Huang et al [18], Frazee B et al [19], Dworkin M et al [20], Singh G et al [21], Shimizu T [22] , et al and Hakkarainen TW et al [23] have documented trauma including operative trauma with mono or polymicrobial infections, consumption of raw or undercooked seafood or injury by fish fins, seawater contamination of wounds infected with marine organisms as common aetiological factors.…”