Necrotizing fasciitis: CT characteristics.

Wysoki, Michael G.; Santora, Thomas A.; Shah, Rohan; Friedman, Arnold C.

doi:10.1148/radiology.203.3.9169717

Cited by 294 publications

(151 citation statements)

References 0 publications

Supporting

Mentioning

146

Contrasting

Unclassified

Order By: Relevance

“…[4] Bilgisayarlı tomografi kullanılarak subkutan yağ dokusunda incelme ve fasyalarda kalınlaşma saptanabilir. [23] Manynetik rezonans görüntüleme (MRG) NF tanısında yüksek duyarlılığa (%93-100) sahiptir. MRG ile likefaksiyon nekrozu, enflamatuvar ödemin neden olduğu fasyal sıvı toplanması görülebilir.…”

Section: Resultsunclassified

Necrotizing fasciitis: Diagnosis Treatment and Review of the Literature

Vayvada¹,

Demirdöver²,

Menderes³

et al. 2012

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

AMAÇNekrotizan fasiit (NF) yumuşak doku ve fasyaların hızla yayılan nekrozu ile karakterize, uygun tedavi edilmezse fulminan seyirli olabilen bir hastalıktır. Bu çalışmada, NF olgularında erken tanı yöntemlerinin saptandı, tedavi ve rekonstrüksiyon seçenekleri gözden geçirildi ve bu doğrultu-da morbidite ve mortalite araştırıldı. GEREÇ VE YÖNTEM2000-2010 yılları arasında NF tanısı ile tedavi edilen 68 hasta (59 erkek, 9 kadın; ort. yaş 55,9; dağılım 28-88 yaş) yaş, cinsiyet, lokalizasyon, tanı konma süresi, predispozan faktörler, doku defekti özellikleri, izole edilen mikrobiyal ajanlar, yapılan cerrahi girişim, komplikasyonlar ve mortalite oranı açısından geriye dönük olarak incelendi. BULGULARHastaların 52'sinde (%76,4) diyabet, obezite, sigara, kortikosteroid kullanımı gibi risk faktörleri vardı. En sık lokalizasyon perine ve inguinal bölgeydi (n=48, %70,5). Tanı koyma süresi ortalama 6,2 gündü (dağılım 1-12 gün). İlk debridman sonrası ortaya çıkan doku defekti ortalama 54,2 cm 2 (28-82 cm 2 ) idi. En sık izole edilen mikrobiyal ajanlar sırasıyla Escherichia coli, Enterococci, Pseudomonas aeruginosa idi. Hastaların 54'ünde (%79,4) polimikrobiyal bir tablo söz konusuydu. Hastalara en sık uygulanan rekonstrüktif cerrahi girişim fasyokutanöz flep + kısmi kalınlıkta deri grefti ile onarımdı (n=39, %57,3). Yara yeri ayrılması, kısmi greft kaybı gibi minör komplikasyonlar dışında hiçbir majör komplikasyon izlenmedi. Mortalite oranı %13,2 idi (n=9). SONUÇNekrotizan fasiit olgularında erken tanı hayat kurtarıcıdır. NF'den şüphelenildiği durumlarda erken debridman uygulanmalıdır. Enfeksiyon tablosu ve nekrozun yayılımı kontrol edildikten sonra rekonstrüksiyon planlanmalıdır.Anahtar Sözcükler: Debridman; Fournier gangreni; nekrotizan fasiit.

show abstract

Section: Resultsunclassified

Necrotizing fasciitis: Diagnosis Treatment and Review of the Literature

Vayvada¹,

Demirdöver²,

Menderes³

et al. 2012

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…However, the absence of subcutaneous air, which is demonstrated in 10% of patients, does not exclude the diagnosis of FG [Sherman et al 1998]. A significant weakness of radiography in the diagnosis and evaluation of FG is the lack of detection of deep fascial gas [Wysoki et al 1997].…”

Section: Diagnosismentioning

confidence: 99%

Contemporary diagnosis and management of Fournier’s gangrene

Chennamsetty

Khourdaji

Burks

et al. 2015

Therapeutic Advances in Urology

132

178

View full text Add to dashboard Cite

show abstract

“…6 Imaging modalities such as computed tomography, magnetic resonance imaging and frozen section biopsy have been previously used in the discrimination between necrotising fasciitis and other soft tissue infections but these methods have been limited by cost and availability. 2,7,8 The Laboratory Risk Indicator for Necrotising Fasciitis (LRINEC) is a clinical tool first described by Wong C et al 9 The tool is based on six common serum parameters at the time of presentation: C-reactive protein (CRP), total white cell count, haemoglobin, serum sodium, creatinine and glucose (Table 1). An LRINEC of six or greater confers a higher risk of necrotising fasciitis.…”

Section: Introductionmentioning

confidence: 99%

Laboratory risk indicator for necrotising fasciitis (LRINEC) score for the assessment of early necrotising fasciitis: a systematic review of the literature

Bechar

Sepehripour

Hardwicke

et al. 2017

annals

155

106

View full text Add to dashboard Cite

INTRODUCTION Early operative debridement of necrotising fasciitis is a major outcome determinant. Identification and diagnosis of such patients can be clinically difficult. The Laboratory Risk Indicator for Necrotising Fasciitis (LRINEC) score first published in 2004 is based on routinely performed parameters and offers a method for identifying early cases. No literature review has yet been performed on the application of such a score. METHODS A systematic review of English-language literature was performed from 2004 to 2014 to identify articles reporting use of LRINEC score and the incidence of necrotising fasciitis. We performed a critical review of PubMed, Medline and Embase in line with the PRISMA statement. A meta-analysis was performed with a random effects model and 95% confidence interval. Suitable correlation coefficient and receiver operating characteristic (ROC) curves were also calculated. RESULTS After application of inclusion criteria, 16 studies with 846 patients were included. The mean LRINEC score in patients with necrotising fasciitis was 6.06. Two papers reported LRINEC score in patients without necrotising fasciitis with a mean 2.45. All six studies with a reported coefficient of variance were < 1; Pearson correlation coefficient was r = 0.637 (P = 0.011). An ROC curve showed an area under the curve of 0.927. CONCLUSIONS The LRINEC score is a useful clinical determinant in the diagnosis and surgical treatment of patients with necrotising fasciitis, with a statistically positive correlation between LRINEC score and a true diagnosis of necrotising fasciitis.

show abstract

Necrotizing fasciitis: CT characteristics.

Abstract: CT criteria of asymmetric fascial thickening and gas are valuable in assessing suspected necrotizing fasciitis. CT also can provide information on coexistent deep collections.

Cited by 294 publications

References 0 publications

Necrotizing fasciitis: Diagnosis Treatment and Review of the Literature

Necrotizing fasciitis: Diagnosis Treatment and Review of the Literature

Contemporary diagnosis and management of Fournier’s gangrene

Laboratory risk indicator for necrotising fasciitis (LRINEC) score for the assessment of early necrotising fasciitis: a systematic review of the literature

Contact Info

Product

Resources

About