TY - JOUR
T1 - Early diagnosis and treatment of necrotizing fasciitis
AU - Miura, Chieko
AU - Tachi, Masahiro
PY - 2014/12/1
Y1 - 2014/12/1
N2 - Necrotizing fasciitis (NF) is a rapidly progressive and life-threatening infection, primarily involving the fascia and subcutaneous tissue. Early recognition and aggressive debridement of all necrotic tissue is a major prognostic determinant, and delays in operative debridement have been shown to increase the associated mortality rate. However, it is difficult to clinically recognize NF early in its evolution, because the disease is often indistinguishable from cellulitis or erysipelas. Once NF is strongly suspected, immediate surgical intervention should be considered, along with the administration of broad-spectrum antibiotics and general supportive measures. In this review, we provide a broad description of the clinical characteristics of NF, and its early points of recognition, surgical approach, and overall management.
AB - Necrotizing fasciitis (NF) is a rapidly progressive and life-threatening infection, primarily involving the fascia and subcutaneous tissue. Early recognition and aggressive debridement of all necrotic tissue is a major prognostic determinant, and delays in operative debridement have been shown to increase the associated mortality rate. However, it is difficult to clinically recognize NF early in its evolution, because the disease is often indistinguishable from cellulitis or erysipelas. Once NF is strongly suspected, immediate surgical intervention should be considered, along with the administration of broad-spectrum antibiotics and general supportive measures. In this review, we provide a broad description of the clinical characteristics of NF, and its early points of recognition, surgical approach, and overall management.
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M3 - Article
AN - SCOPUS:84921442658
VL - 57
SP - 1373
EP - 1382
JO - Japanese Journal of Plastic Surgery
JF - Japanese Journal of Plastic Surgery
SN - 0021-5228
IS - 12
ER -