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Klinik und Therapie nekrotisierender Haut- und Weichgewebsinfektionen

Clinical symptoms and therapy of necrotizing skin and soft tissue infections

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Zusammenfassung

Haut- und Weichgewebsinfektionen gehören zu den häufigsten Erkrankungen im chirurgischen Krankengut. Sie zeigen eine Variationsbreite vom banalen Furunkel bis zur schweren nekrotisierenden Infektion mit tödlichem Verlauf. Die Abgrenzung der nekrotisierenden Infektionen ist mitunter schwierig und lässt sich oft nur durch den Verlauf bestimmen. Eine rechtzeitige Diagnose und eine frühzeitige chirurgische Therapie sind ausschlaggebend für die Prognose. Ergänzend zur chirurgischen Therapie sind ebenfalls eine frühzeitige antibiotische Behandlung und eine intensivmedizinische Therapie notwendig.

Abstract

Skin and soft tissue infections are among the most common diseases requiring surgical treatment. The presentation of patients varies from folliculitis to severe necrotizing infections with a fatal outcome. The diagnosis of a necrotizing infection is often difficult. The correct diagnosis is often made after deterioration of the patient’s condition in the rapid course of the disease. The early and correct diagnosis and immediate surgery are decisive for the prognosis. Treatment at a specialized intensive care unit and the administration of a broad spectrum antibiotic are pivotal for the survival of individual patients.

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Authors and Affiliations

  1. Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland

    P. Kujath, M. Hoffmann, E. Schlöricke, L. Unger & R. Bouchard

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  1. P. Kujath
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  2. M. Hoffmann
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  3. E. Schlöricke
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  4. L. Unger
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  5. R. Bouchard
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Correspondence to P. Kujath.

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Diese Arbeit ist Herrn Prof. Dr. med. Ernst Kern gewidmet.

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Kujath, P., Hoffmann, M., Schlöricke, E. et al. Klinik und Therapie nekrotisierender Haut- und Weichgewebsinfektionen. Chirurg 83, 953–959 (2012). https://doi.org/10.1007/s00104-012-2282-1

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  • DOI: https://doi.org/10.1007/s00104-012-2282-1

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