Streptococcal necrotising fasciitis

Weinbren, M.; Perinpanayagam, R.M.

doi:10.1016/0163-4453(92)91599-7

Cited by 21 publications

(10 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is characterized by rapidly spreading progressive necrosis of the subcutaneous fat and fascia ( 1 ). Although uncomplicated infectious cellulitis or fasciitis can, in most cases, be treated with antibiotics alone, NIF is known to be rapidly fatal unless there is a prompt diagnosis and aggressive surgical treatment ( 2,3 ). However, the differentiation of NIF from nonnecrotizing infectious fasciitis (non-NIF) remains diffi cult from both a clinical and an imaging standpoint.…”

Section: Mr Imaging Protocolmentioning

confidence: 99%

Can Necrotizing Infectious Fasciitis Be Differentiated from Nonnecrotizing Infectious Fasciitis with MR Imaging?

Kim¹,

Kim²,

Lee³

et al. 2011

Radiology

136

View full text Add to dashboard Cite

show abstract

Section: Mr Imaging Protocolmentioning

confidence: 99%

Can Necrotizing Infectious Fasciitis Be Differentiated from Nonnecrotizing Infectious Fasciitis with MR Imaging?

Kim¹,

Kim²,

Lee³

et al. 2011

Radiology

136

View full text Add to dashboard Cite

show abstract

“…However, infections in limbs are usually due to a single microorganism arising from the skin fl ora such as Staphylococcus pyogenes. Recently, Group A streptococcal (GAS) infections have received much attention recently as aetiologic agents of NSTI [13][14][15][16][17]. Streptococcal NSTIs can occur in otherwise healthy people at any age and may cause rapid onset of shock and multiple-organ failure [18].…”

Section: Pseudomonas Aeruginosamentioning

confidence: 99%

Integrated clinical care pathway for managing necrotising soft tissue infections

et al. 2009

View full text Add to dashboard Cite

show abstract

“…Idiopathic factor is the most common predisposing factor and is account for 48% (24). Trauma was the next common whereas perianal abscess third predisposing factor for necrotizing fasciitis was.…”

Section: Predisposing Factorsmentioning

confidence: 99%

“…In most of study like Bosshordt TI, Mchenry CR, Lille St and associate, Elliot DC, Majeski JA and associate, Sudarsky LA and Rubinstien E shows mortality rate varies from 6% to 33%. 24 Diabetes mellitus has a direct effect in the outcome of the patients, Elliot et al mentioned that DM was the most common pre-existing medical condition which presents in 65.4% of admitted patients; however, the presence of diabetes did not affect mortality, unless it occurred in conjunction with certain other diseases.…”

Section: Outcomementioning

confidence: 99%

Clinicopathology study of necrotizing fasciitis with special reference to Fournier’s gangrene

Brar¹,

Dhaliwal²,

Singh³

et al. 2017

Int Surg J

View full text Add to dashboard Cite

Background: Necrotizing fasciitis including Fournier’s gangrene is an uncommon, critically serious infection of the subcutaneous tissue and fascia with relative sparing of the skin and muscle. Despite modern supportive measures, the reported mortality rate still is high and this is due to part to the aggressive nature of the infection. The present study was performed upon 50 patients to study clinicopathology of necrotizing fasciitis with special reference to Fournier’s gangrene. Methods: This cross-sectional study was conducted in Surgery ward of SGRD Hospital, for a period of 1 year (1st January 2015 to 31st December 2015). The performa filled for patients with necrotizing fasciitis was designed on the basis of NICE guidelines and details like history, examination, general survey, local examination, systemic examination and investigations, statistical analysis of data done. Results: Necrotizing fasciitis, though it is found at any age but is a disease of middle and old aged adults in this part of the world, being commonest in the 4th, 5th, 6th decades of life and is more common in males. The disease is more common in people with low socio-economic groups with poor personal hygiene, diabetes mellitus and history of drug addiction. Trauma is the most common predisposing factor for the necrotizing fasciitis as a whole whereas idiopathic cause is the most common cause in cases of Fournier’s gangrene. Polymicrobial infection is the most common variety, where in E. coli, Streptococcus, Bacteroids are most commonly isolated. Regarding monobacterial infection streptococcus being the most common. Conclusion: Current study showed increased frequency of necrotizing fasciitis in people aged above 40 years. Diabetes mellitus and other premorbid conditions increase the risk of mortality. Polymicrobial infection in combination of Escherichia coli, Streptococcus, Pseudomonas, Bacteroids and Staphylococcus were the most commonly found. Early debridement, parenteral combined antibiotic and supportive measure formed the basis of treatment. Septicemia was a common complication which was often cause death.

show abstract

Streptococcal necrotising fasciitis

Cited by 21 publications

References 9 publications

Can Necrotizing Infectious Fasciitis Be Differentiated from Nonnecrotizing Infectious Fasciitis with MR Imaging?

Can Necrotizing Infectious Fasciitis Be Differentiated from Nonnecrotizing Infectious Fasciitis with MR Imaging?

Integrated clinical care pathway for managing necrotising soft tissue infections

Clinicopathology study of necrotizing fasciitis with special reference to Fournier’s gangrene

Contact Info

Product

Resources

About