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Necrotizing Soft Tissue Infection

  • Julie A. DiSano
  • Colette R. PameijerEmail author
Chapter

Abstract

Necrotizing soft tissue infections progress rapidly and are a surgical emergency. Patients often have significant comorbidities and will likely need critical care support after broad-spectrum antibiotics and aggressive debridement of all necrotic tissue. Multiple debridements are usually required, as well as rehabilitation and reconstruction of the affected area.

Keywords

Necrotizing soft tissue infection Necrotizing fasciitis Debridement Broad-spectrum antibiotics Cutaneous anesthesia Pain out of proportion to exam 

References

  1. 1.
    Bonne SL, Kadri SS. Evaluation and management of necrotizing soft tissue infections. Infect Dis Clin N Am. 2017;31(3):497–511.  https://doi.org/10.1016/j.idc.2017.05.011.CrossRefGoogle Scholar
  2. 2.
    Hakkarainen TW, Kopari NM, Pham TN, Evans HL. Necrotizing soft tissue infections: review and current concepts in treatment, systems of care, and outcomes. Curr Probl Surg. 2014;51(8):344–62.  https://doi.org/10.1067/j.cpsurg.2014.06.001. PubMed PMID: 25069713; PubMed Central PMCID: PMCPMC4199388.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Wong CH, Khin LW, Heng KS, Tan KC, Low CO. The LRINEC (laboratory risk indicator for necrotizing fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med. 2004;32(7):1535–41. PubMed PMID: 15241098.CrossRefGoogle Scholar
  4. 4.
    Anaya DA, Dellinger EP. Necrotizing soft-tissue infection:diagnosis and management. Clin Infect Dis. 2007;44(5):705. Pubmed PMID: 17278065.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of General SurgeryPenn State Milton S. Hershey Medical CenterHersheyUSA

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