Necrotizing fasciitis: a plastic surgeon's perspective

Narayan, Nitisha; McCoubrey, Gavin

doi:10.1016/j.mpsur.2018.11.009

Cited by 4 publications

(3 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A relatively new element of symptomatic treatment is, according to the literature, the hyperbaric oxygen therapy with antibacterial purpose, used for remission of edema and stimulation of tissue neoformation processes, thus reducing subsequent debridement surgery [ 21 , 33 , 35 , 45 ]. In our study this technique was not used.…”

Section: Discussionmentioning

confidence: 99%

Principles of Treatment and Clinical-Evolutionary Peculiarities of Deep Cervical Spaces Suppurations—Clinical Study

Jicman

Sârbu

Rebegea

et al. 2023

Life

View full text Add to dashboard Cite

As medical-surgical emergencies, regardless of the causal agent, deep cervical space suppurations are not only a diagnostic challenge, but also a therapeutic one. In some cases, in spite of proper therapeutic measures, extremely severe complications can develop. A 5-year retrospective study (2016–2020) was conducted on a group of 107 patients suffering from cervical suppurations, being hospitalized and treated in the ENT Clinic of the “Sf. Apostol Andrei” Emergency County Hospital of Galați. This research is a clinical-statistical study based on the experience of this ENT clinic and was carried out based on the analysis of the patients’ medical records. Descriptive analysis’ statistical methods of the data series collected from the clinical observation sheets were used, with the patients’ informed consent for the processing of the aforementioned data, with the agreement of the Ethics Commission of the Emergency Clinical Hospital “Sf. Apostol Andrei” Galați and the College of Physicians Galați, România. The patients’ clinical and multidisciplinary treatment features included in the study group are presented. The results highlight the clinical particularities of deep cervical space suppurations treatment, including under COVID-19 impact, or with other comorbidities, having consequences on the case mix index increase or directly on the costs, admittance duration and the clinical status of the patient at discharge. The conclusions of the clinical study are based on the fulfillment of the research objectives in terms of treatment and symptomatology of deep cervical space suppurations and under the impact of comorbidities (global health crisis and pandemic, triggering of comorbidities due to health care access difficulty in the context of anti-COVID-19 government-implemented measures and the infection-rate that overburdened the medical system in the early period of the pandemic). Individualized treatment of deep cervical space suppurations is recommended to be approached multidisciplinary. Of particular importance is early diagnosis combined with prompt and correctly instituted multidisciplinary treatment. In this context, an appropriate medical measure that we recommend is patient health education, as it was observed in the clinical study: most times, patients address medical services with advanced disease, hence the generally unfavorable prognosis and outcome (about 25% of patients develop unfavorable prognosis and 4% die).

show abstract

Section: Discussionmentioning

confidence: 99%

Principles of Treatment and Clinical-Evolutionary Peculiarities of Deep Cervical Spaces Suppurations—Clinical Study

Jicman

Sârbu

Rebegea

et al. 2023

Life

View full text Add to dashboard Cite

show abstract

“…Primarily affected parts include the skin, subcutaneous fat, and superficial fascia which leads to the destruction of blood supply to the skin leading to necrosis. 7 8 NF can be classified into three types according to the causative organisms type I infections account for about 80% infections and is polymicrobial, type II infections are monomicrobial and caused by group A Streptococcus, and type III infections are caused by Vibrio or Aeromonas spp. and occur in people who come in contact with contaminated food or water, and present with fulminant sepsis.…”

Section: Discussionmentioning

confidence: 99%

A case report on necrotizing fasciitis in a hemiplegic patient following an intra-muscular injection

Mendem

Faraz

Rao

2020

Int J Community Med Public Health

View full text Add to dashboard Cite

Necrotizing fasciitis (NF) can be defined as a surgical emergency causing the necrosis of the skin, subcutaneous fat, and superficial fascia. It spreads along the fascial planes with or without the presence of cellulitis. It is characterized by the destruction of tissue, systemic toxicity, and may even lead to morbidity and mortality. Higher rates of prevalence were observed in the obese, diabetic, alcoholic, patients with peripheral vascular diseases and immunocompromised populations. There are no definite diagnostic criteria for NF and the laboratory findings may lead to misdiagnosis as cellulitis or abscess. It is usually developed from an injury to the skin, which may occur during trauma, IV drug use, drug administration (via injection), skin infections, ulcer, insect bites, visceral-cutaneous fistulas, surgical complications, percutaneous catheter insertion, abscesses and can even have idiopathic causes. Early diagnosis of the condition, surgical debridement, and optimal antibiotic therapy leads to the improvement in the condition and desired outcomes in the patient. The present study is focused on the successful treatment of necrotizing fasciitis in a hypertensive and hemiplegic patient, following an IM injection of an analgesic, which caused an ulcer and rapidly progressed, leading to necrosis of the affected regions.

show abstract

“…Regarding musculoskeletal and soft tissue infections, the Aeromonas are recognized to generate disorders in both healthy and immunocompromised patients ( Voss et al, 1992 ; Janda and Abbott, 2010 ). Necrotizing fasciitis (NF), a disease associated with a high mortality rate, which usually needs surgical intervention, is characterized by a progressive infection that starts in the fascia and extends to the subcutaneous tissues, impairing local blood circulation, generating deep necrosis ( Ali and Lateef, 2016 ; Narayan and McCoubrey, 2019 ; Stevens et al, 2021 ). NF is subdivided into four categories, depending on the type and number of microorganisms detected, and has several etiologies, risk factors, and pathogenic mechanisms ( Narayan and McCoubrey, 2019 ; Stevens et al, 2021 ).…”

Section: Pathological Processes and Clinical Manifestationsmentioning

confidence: 99%

Aeromonas and Human Health Disorders: Clinical Approaches

et al. 2022

View full text Add to dashboard Cite

The genus Aeromonas comprises more than 30 Gram-negative bacterial species and naturally inhabitants from aquatic environments. These microorganisms, commonly regarded as pathogens of fish and several other animals, have been gaining prominence on medical trial due to its ability to colonize and infect human beings. Besides water, Aeromonas are widely spreaded on most varied sources like soil, vegetables, and food; Although its opportunistic nature, they are able to cause infections on immunocompromised or immunocompetent patients. Aeromonas species regarded as potential human pathogens are usually A. hydrophila, A. caviae, and A. veronii biovar sobria. The main clinical manifestations are gastrointestinal tract disorders, wound, and soft tissue infections, as well as septicemia. Regarding to antibiotic responses, the bacteria present a diversified susceptibility profile and show inherence resistance to ampicillin. Aeromonas, as an ascending genus in microbiology, has been carefully studied aiming comprehension and development of methods for detection and medical intervention of infectious processes, not fully elucidated in medicine. This review focuses on current clinical knowledge related to human health disorders caused by Aeromonas to contribute on development of efficient approaches able to recognize and impair the pathological processes.

show abstract

Necrotizing fasciitis: a plastic surgeon's perspective

Cited by 4 publications

References 10 publications

Principles of Treatment and Clinical-Evolutionary Peculiarities of Deep Cervical Spaces Suppurations—Clinical Study

Principles of Treatment and Clinical-Evolutionary Peculiarities of Deep Cervical Spaces Suppurations—Clinical Study

A case report on necrotizing fasciitis in a hemiplegic patient following an intra-muscular injection

Aeromonas and Human Health Disorders: Clinical Approaches

Contact Info

Product

Resources

About