Necrotizing Fasciitis

Monomicrobial necrotizing fasciitis caused by coagulase-negative Staphylococci and methicillin-resistant Staphylococcus aureus

“…Necrotizing fasciitis is a surgical emergency and is categorized as either type I, II, or III depending on the causative bacteria. Type I is characterized by polymicrobial infection with aerobic and anaerobic bacteria, type II is caused by group A b-hemolytic Streptococcus and S. aureus, and type III is caused by Vibrio vulnificus [5,7,10,11,16]. In this study, the clinical presentations of necrotizing fasciitis caused by CoNS included edematous, erythematous, and bullous skin lesions with a fulminant clinical course of sepsis.…”

“…In the past decade, methicillin-resistant S. aureus (MRSA), especially community-associated MRSA, has emerged as the most common isolate in necrotizing fasciitis [5][6][7][8][9][10]. MRSA has been reported to have a prevalence of 59-75% in softtissue infections and 29-39% in necrotizing fasciitis at the emergency departments [6,8,9].…”

“…Necrotizing fasciitis is a rapidly progressive and lifethreatening soft-tissue infection that necessitates early diagnosis, emergent surgical debridement, and broadspectrum antibiotic therapy in order to lower the mortality rate associated with this condition [5,6]. In the past decade, methicillin-resistant S. aureus (MRSA), especially community-associated MRSA, has emerged as the most common isolate in necrotizing fasciitis [5][6][7][8][9][10].…”

Necrotizing fasciitis: Diagnosis Treatment and Review of the Literature

“…Bu isim yanında Phagadena gangrenosum, progresif bakteryial sinerjistik gangren ve nonklostridiyal gazlı gangren terimleri de kullanılmıştır. [3][4][5] Wilson enflamasyon, subkutan yağ doku ve derin fasyada nekroz ve kasların korunması şeklinde hastalığın ana bulgularını da tanımlamıştır. [3] Nekrotizan fasiit tablosunda genellikle, cerrahi insizyon, böcek sokması, kesi, abrazyon, kontüzyon, enjeksiyon, deri ülseri, perirektal apse, inkarsere fı-tık, yanık, kıymık batması, doğum ve penetran travma gibi küçük yaralanma öyküsü vardır.…”

“…Radyografik incelemelerle subkutan dokudaki gaz toplanması görülebilir, ancak hastaların çoğunda gaz görülmez. [4] Bilgisayarlı tomografi kullanılarak subkutan yağ dokusunda incelme ve fasyalarda kalınlaşma saptanabilir. [23] Manynetik rezonans görüntüleme (MRG) NF tanısında yüksek duyarlılığa (%93-100) sahiptir.…”