The clinical spectrum of necrotising fasciitis. A review of 15 cases

Abstract

Necrotising fasciitis is a clinical spectrum of disease. It affects a wide age group and can have associated morbidities. It is often a fatal disease. Early recognition, high dose antibiotics and surgical debridement are important in the management of the entire spectrum of necrotising fasciitis.

Monomicrobial necrotising fasciitis due to staphylococcus aureus as a complication of infected intramedullary interlocking nail

“…13,15 The clinical spectrum of the disease may range from fulminant to subacute forms. 6 The use of broad spectrum antibiotics prior to admission may modify the clinical picture at the time of presentation. 11 In our patient, the initial subacute presentation could be attributed to the infecting pathogen, staphylococcus aureus and the altered virulence of the infecting pathogen due to repeated use of antibiotics by the patient.…”

Necrotizing fascitis: an epidemiologic study of 102 cases

“…In physical examination, the skin is red, warm and swelling can be detectable which is very similar to cellulites [2]. Necrosis will happen after several days or weeks -as a result of vascular thrombosis -and then the red discoloration of skin will changes to violet or black [7,8]. Anatomically, a layer of necrotic tissue that is not limited with infl ammatory reaction is characteristic for this infection, so the involved skin does not have clear margins [9].…”

Necrotising fasciitis of a limb

“…monly involves the limbs, [3][4][5][6][7][8][9][10] the orthopaedic surgeon has a significant role in making the diagnosis, and in carrying out urgent debridement and subsequent reconstruction. Success in avoiding a fatal outcome depends on prompt and radical debridement [8][9][10][11][12][13][14][15][16] and therefore early diagnosis is essential.…”