Features and Treatment of Gas-forming Synergistic Necrotizing Cellulitis: a Nine Year Retrospective Study

Abstract

For treating gas-forming synergistic necrotizing cellulitis, performing open drainage as early as possible isthe most important procedure after admission.

Bedside ultrasound to detect bone flap infections: A case image

“…A follow‐up CT‐scan showing a non‐isodense collection with overlaying gas was consistent with the previous findings and suggestive of a suppurative inflammatory process (Figure 3). Following neurosurgical consultation, the bone flap was surgically discarded and the pouch cleaned; microbiological examination of the collected samples isolated a Serratia marcescens , an organism only rarely associated with gas‐producing soft tissue infections 1 . Intravenous antibiotics were started and the patient made a full recovery.…”

“…Following neurosurgical consultation, the bone flap was surgically discarded and the pouch cleaned; microbiological examination of the collected samples isolated a Serratia marcescens, an organism only rarely associated with F I G U R E 1 Heterogenous anechoic collection proximal to the hyperechoic, high-impedance bone flap (red asterisk); small gas-bubbles seen adjacent to the subcutaneous tissue (blue arrows) gas-producing soft tissue infections. 1 Intravenous antibiotics were started and the patient made a full recovery.…”