MR imaging in acute infectious cellulitis.

Rahmouni, Alain; Chosidow, Olivier; Mathieu, Didier; Gueorguieva, E; Jazaerli, N.; Radier, C.; Faivre, J; Roujeau, Jean‐Claude; Vasile, N

doi:10.1148/radiology.192.2.8029421

Cited by 165 publications

(62 citation statements)

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“…Compared to patients with NSTI, leukocytosis is commonly present (84%) (11,29) (29,32 (17). CT (37) or MRI (38) (50)(51)(52)(53), resulting in up to a 50% mortality rate within 48 hours after admission (54). Most…”

Section: Laboratory Testsmentioning

confidence: 99%

Necrotizing Fasciitis

2010

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Section: Laboratory Testsmentioning

confidence: 99%

Necrotizing Fasciitis

2010

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“…It has been suggested that magnetic resonance imaging (MRI) may represent an accurate, non-invasive tool for the early diagnosis of fascial necrosis [15, 22, 23, 24]. In patients with negligible or absent skin disease and acute swelling, MRI findings (thickening of the skin and high T 2 -weighted image intensity) are limited to the skin adipose tissue and superficial fascia.…”

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

Group A Beta-Haemolytic Streptococcal Necrotising Fasciitis: Early Diagnosis and Clinical Features

Simonart

2004

Dermatology

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Necrotising fasciitis (NF) due to group A β-haemolytic streptococci (GAS) is a rare but still life-threatening soft-tissue infection characterised by rapidly spreading inflammation and subsequent necrosis of the muscle fascia and of the surrounding tissues. Previous studies have emphasised that the outcome of patients with NF depends essentially on early diagnosis and treatment, consisting of extensive surgical debridement, along with appropriate antibiotic therapy. However, one of the striking features of the published series of GAS NF is that there was a delay in diagnosis in several cases, which underscores the difficulty of the early diagnosis of the condition. The goal of this article was to review the clinical features and diagnostic tools that could facilitate the early recognition of GAS NF.

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“…Early fascial biopsy and histopathological analysis is useful in cases where the diagnosis is unclear. Magnetic Resonanace Imaging (MRI) may also be useful as it can differentiate between necrotising fasciitis and cellulites [5].…”

Section: Introductionmentioning

confidence: 99%

Primary Cutaneous Diffuse Large B-Cell Lymphoma (Leg Type) Presenting as Necrotising Fasciitis

McInerney¹,

Power²,

Hussey³

2012

MPS

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Necrotising fasciitis is a rare rapidly progressive, life threatening, soft tissue infection which spreads along fascial planes. We present a patient who was diagnosed with a primary cutaneous Diffuse Large B-Cell Lymphoma (leg type) following initial presentation as probable necrotising fasciitis. Presentation was of a painful swollen leg, septic shock and MRI findings consistent with the clinical signs. Diagnosis of necrotising fasciitis remains challenging and it is often missed in the early stages. Early fascial biopsy and histopathological analysis is useful in cases where the diagnosis is unclear. We feel that this case highlights these important issues and will benefit others in their management of similar cases in the future.

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MR imaging in acute infectious cellulitis.

Abstract: The precise extent of acute cellulitis and the presence of necrotizing soft-tissue infections can be determined with MR imaging, particularly on T2-weighted images.

Cited by 165 publications

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Necrotizing Fasciitis

Necrotizing Fasciitis

Group A Beta-Haemolytic Streptococcal Necrotising Fasciitis: Early Diagnosis and Clinical Features

Primary Cutaneous Diffuse Large B-Cell Lymphoma (Leg Type) Presenting as Necrotising Fasciitis

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