WORLD JOURNAL OF PLASTIC SURGERY
مجله جهانی جراحی پلاستیک
WJPS
Medical Sciences
http://wjps.ir
1
admin
2228-7914
2252-0724
8
10.61186/wjps
14
8888
13
en
jalali
1399
10
1
gregorian
2021
1
1
10
1
online
1
fulltext
en
Necrotising Fasciitis: Appearances Can Be Deceptive
عمومى
General
مقالات اصيل
Original Article
BACKGROUND<br>
Necrotizing fasciitis is a potentially fatal infection of β hemolytic Group-A Streptococcus, often occurring in patients with other comorbidities, but can occur in healthy individuals as well. It commonly affects the extremities, perineum, and abdominal wall. The aim of this study was to highlight various presentations of necrotizing fasciitis in unusual anatomical sites with delayed diagnosis and treatment. <br>
METHODS<br>
In a retrospective analysis, seven cases of unusual presentations of necrotizing fasciitis were enrolled during a period of five years treated in a tertiary center.<br>
RESULTS<br>
The patients were between 23 and 80 years. Four were males and three were females. Four out of seven were diabetic. All patients had septicemia (hypovolemic shock, with leucocytosis, thrombocytopenia and deranged coagulation parameters) on admission in the intensive care unit. All seven patients had minimal cutaneous manifestation and the remote primary pathology was diagnosed in two patients. Six patients out of seven survived and the morbid state continued in one patient in view of malignancy of rectum in one patient. The overall outcome was satisfactory in five out of seven cases.<br>
CONCLUSION<br>
Pain disproportionate to the local inflammation with florid constitutional symptoms should raise suspicion of necrotizing fasciitis. Early diagnosis, of stabilization of hemodynamics, emergency fasciotomy, staged debridement and the initiation of broad spectrum antibiotics reduced the morbidity and mortality. The disease may manifest with uncommon presentations and sometimes lead to the diagnosis of primary aetiology.
Necrotising fasciitis, Streptococcus, Carcinoma, Reconstruction
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http://wjps.ir/browse.php?a_code=A-10-64-4&slc_lang=en&sid=1
Shanthakumar
Shivalingappa
10031947532846009967
10031947532846009967
No
Department of Plastic and Reconstructive Surgery, Ramaiah Medical College, Bangalore, India
KN
Manjunath
drknmanjunath@gmail.com
10031947532846009968
10031947532846009968
Yes
Department of Plastic and Reconstructive Surgery, Ramaiah Medical College, Bangalore, India
Veena
Waiker
10031947532846009969
10031947532846009969
No
Department of Plastic and Reconstructive Surgery, Ramaiah Medical College, Bangalore, India
M
Kumaraswamy
10031947532846009970
10031947532846009970
No
Department of Plastic and Reconstructive Surgery, Ramaiah Medical College, Bangalore, India
Udayashankar
Odeyar
10031947532846009971
10031947532846009971
No
Plastic Surgeon, Bangalore, India