Necrotising Fasciitis: Clinical Evaluation and Treatment Results of 18 Patients

Öztürk, Anıl Murat; Akyol, Deniz; Süer, Onur; Erdem, Hüseyin Aytaç; Şimşir, Ilgın Yıldırım; Akar, Şebnem Şenol; Özkayın, Nadir; Taşbakan, Meltem

doi:10.4274/mjima.galenos.2019.2019.9

mjima

2019

DOI: 10.4274/mjima.galenos.2019.2019.9

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Necrotising Fasciitis: Clinical Evaluation and Treatment Results of 18 Patients

Anıl Murat Öztürk¹,

Deniz Akyol²,

Onur Süer³

et al.

Abstract: Necrotizing fasciitis (NF) is a complicated and rapidly spreading soft tissue infection that affects the superficial fascia, skin, and subcutaneous tissue. In this study, we evaluated patients who were diagnosed with NF and treated in two tertiary-care educational university hospitals.

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2021

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“…Furthermore, undetected FBs will lead to worse patient outcomes, increased inpatient cost, long hospital stay and underwent repetitive surgery [6]. Even in immunocompromised patients FB injuries with seeding of bacteria can be the reason of necrotizing fasciitis that risk serious morbidity [7]. Most of the papers related with the FBs are case reports in the literature.…”

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Retrospective evaluation of 377 patients with penetrating foreign body injuries: a university hospital experience (a present case of missed sponge foreign body injury)

et al. 2021

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Retrospective evaluation of 377 patients with penetrating foreign body injuries: a university hospital experience (a present case of missed sponge foreign body injury) Background/aim: This study aimed to analyze retrospectively patients with FB injuries in our hospital and to present a patient with missed penetrating sponge FB injury. Materials and methods: This study covered 12 years (2008-2020) and reviewed all patients with FB injury who were admitted to the emergency department of our hospital. Besides our total results, we also present a case with missed penetrating sponge FB injury in detail. Results: 377 patients were included in the study (age 28.3 ± 18.3 years, m/f 229/148). Foot (n = 148, 39.3%) and hand (n = 143, 37.9%) were most frequently injured body parts. Regarding to the FBs types sewing needle (n = 140, 37.1%), metal pieces (n = 91, 24.1%) and glass (n = 80, 21.2%) were frequently observed objects. Most of the patients had been injured at home often by needles or glass. Injury-admission mean time was 7.38 ± 2.5 days. FBs frequently were removed in the emergency department (n = 176, 46.7%). Plain radiography is the first line in identifying FBs. Soft tissue infection was the most common complication. The MRI was much useful than USG in detecting of the missed penetrating sponge injury of the patient. Conclusion: For diagnosis of FBs, besides taking history from a patient, obtaining two-sided radiogram are of great importance. For non-radiolucent or deeply located FBs further clinical or radiological investigation must be considered to avoid complications. Although most of the FBs can be removed in the emergency department, depending upon the site of FB and age of the patient may require hospitalization and operation for its removal.

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Retrospective evaluation of 377 patients with penetrating foreign body injuries: a university hospital experience (a present case of missed sponge foreign body injury)

et al. 2021

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Necrotising Fasciitis: Clinical Evaluation and Treatment Results of 18 Patients

Abstract: Necrotizing fasciitis (NF) is a complicated and rapidly spreading soft tissue infection that affects the superficial fascia, skin, and subcutaneous tissue. In this study, we evaluated patients who were diagnosed with NF and treated in two tertiary-care educational university hospitals.

Cited by 1 publication

References 21 publications

Retrospective evaluation of 377 patients with penetrating foreign body injuries: a university hospital experience (a present case of missed sponge foreign body injury)

Retrospective evaluation of 377 patients with penetrating foreign body injuries: a university hospital experience (a present case of missed sponge foreign body injury)

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