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Necrotizing fascitis

Padmaja Ananth-Shenoy, Shashidhar Vishwanath, Ryumzook Targain, Seema Shetty, Gabriel Sunil-Rodrigues, Chiranjay Mukhopadhyay, Kiran Chawla
BACKGROUND AND OBJECTIVES: Anaerobic bacteria are recognized as important pathogens in surgical infections. However, they are the most overlooked microorganisms by the clinic and the laboratory because of the tedious culture techniques with longer turn-around times. The study was aimed to analyze the frequency of anaerobic bacterial surgical infections and their predisposing factors. MATERIALS AND METHODS: A retrospective study was conducted over a period of two years including patients with surgical infections...
June 2016: Iranian Journal of Microbiology
Daniel Martínez-González, Ana María Paulos-Gómez, Rogelio Conde-Freire, Iván Couto-González
No abstract text is available yet for this article.
December 2015: Cirugía Española
Shivakshi Chansoria, Harsh Chansoria, P V Wanjari, Sumeet Jain, Pushkar Gupta
No abstract text is available yet for this article.
March 2015: Journal of Clinical and Diagnostic Research: JCDR
R P Yadav, C S Agrawal, S Adhikary, M Kumar, R Regmi, R Amatya, R K Gupta
Objective: To evaluate the clinical profile and outcome in patients with iliopsoas abscess. Methods: A descriptive study was carried out in B.P. Koirala Institute of Health Science, Dharan, Nepal from February 2005 to March 2006. The medical records of all thirty six patients admitted in surgery ward with diagnosis of iliopsoas abscess during the study period were analyzed. Results: Thirty six patients were included the study. There were 22 (61.1%) males and 14 (38.9%) females with a mean age of 24.33 ±19...
October 2007: Kathmandu University Medical Journal (KUMJ)
Sanjeev K Uppal, Ramneesh Garg, Ashish Gupta
INTRODUCTION: Reconstruction of anterior abdominal wall after necrotizing abdominal wall infections is a challenge. MATERIAL AND METHODS: A 35-year-old lady presented with 20 × 18 cm sized defect of the anterior abdominal wall following fungal necrotizing fascitis. The defect was covered by an overlay prolene mesh and the soft tissue deficit was corrected by pre-expanded epigastric flap based on the superior epigastric artery. CONCLUSION: A concerted multi-specialty effort is needed to correct these defects...
July 2010: Indian Journal of Surgery
Mohammad Sadegh Fazeli, Mohammad Reza Keramati
BACKGROUND: Necrotizing fascitis is a progressive, rapidly spreading, inflammatory infection located in deep fascia. It may cause necrosis of skin and subcutaneous tissues. Spreading of it may lead to shock, organ failure and even death. METHODS: In this study, we evaluated prevalence of variables including predisposing factors, clinical and paraclinical findings, distribution of tissue involvement and mortality rate in 102 patients of necrotizing fascitis at our Hospital between the years 1995 and 2005...
August 2007: Indian Journal of Surgery
Adelmo Gubitosi, Giancarlo Moccia, Roberto Ruggiero, Giovanni Docimo, Fabrizio Foroni, Emanuela Esposito, Giuseppe Villaccio, Alessandro Esposito, Ettore Agresti, Massimo Agresti
A 62 y.o. male with tight fimosis, swelling, redness, pain on palpating and necrosis of the penis and scrotum was admitted in our clinic, (FGSI = 6) with periferic vasculopathy; and diabetes mellitus type II and he was in dialysis treatment before the hospitalization. The patient was HCV affected. In 24 hours he underwent radical surgical debridement with excision of all necrotic material from penis and scrotum up to the subdermal layer and tissue of doubtful viability for about 75% of the skin and circumcision...
August 3, 2012: Annali Italiani di Chirurgia
Joelle B Karlik, Vincent Duron, Leonard A Mermel, Peter Mazzaglia
BACKGROUND: Thyroidectomy is rarely complicated by a surgical site infection (SSI). Despite its low incidence, post-thyroidectomy SSI is especially concerning because of its proximity to vital head and neck structures and the very real potential for airway compromise and death. Severe SSIs frequently are caused by Group A Streptococcus (GAS) because of its potential for developing into necrotizing fascitis. No description of the surgical approach to a necrotizing soft-tissue infection after thyroid resection is available in the current literature...
April 2013: Surgical Infections
Lubomir Lembas, Józef Jethon
Emergency full thickness abdominal wall defects constitute a challenging problem for surgeons. The aim of reconstruction is prevention of evisceration and hernia formation. Staged surgery is recommended in such cases. The first stage consists of wound healing with skin grafts and creation of "planned hernia". Ultimate reconstruction is delayed until good general health state of the patient. In presented case final skin and subcutaneous tissue reconstruction was achieved with island fasciocutaneous antero-lateral thigh flap...
January 2012: Polski Przeglad Chirurgiczny
Juha Kiiski, Minna Kääriäinen, Hannu Kuokkanen
Necrotizing fascitis is a rare but life-threatening soft tissue infection difficult to diagnose at early stage. We describe two patient cases, in which the patients developed a severe necrotizing soft tissue infection after varicose vein surgery. A quick and sufficiently radical surgical treatment is the most significant factor improving the prognosis. All surgical procedures may result in rare but severe complications, which should, however, be taken into account when assessing procedural indications and risks...
2012: Duodecim; Lääketieteellinen Aikakauskirja
Sabela López García, Daniel León Ramírez, Jorge Rey Rey, Jacobo Freire Calvo, Benito Rodríguez Iglesias, Antonio Ojea Calvo
OBJECTIVES: To assess the complications of polypropylene mesh in the treatment of female pelvic floor disorders. METHODS: Retrospective study of patients with pelvic floor pathology (SUI, cystocele, rectocele, enterocele) undergoing pelvic floor intervention with surgical meshes from March 2002 to October 2009. We evaluated complications, effectiveness of the technique and distribution of the impact of the results. For statistical analysis SPSS software was used and the curve of impact was estimated by Cox model...
September 2011: Archivos Españoles de Urología
Miguel Ángel Abad Hernández
One of the soft-tissue infections with a large clinical relevance is necrotizing fascitis produced by Streptococcus pyogenes and skin infections produced by Staphylococcus aureus, particularly due to the evermore frequent methylcillin (MRSA) resistant varieties. In necrotizing fascitis the diagnostic delay as well as the delay in the indication for surgical debridement influence both the prognosis and a high mortality related to these infections. Two clinical forms have been described: Type I caused by at least one anaerobic species in combination with facultative anaerobes, more frequent in diabetics or patients with peripheral vascular disease; type II, monomicrobial, produced by group A beta hemolytic Streptococcus and with a lesser frequency by Staphylococcus aureus...
October 2008: Reumatología Clinica
B Saka, K Kombaté, A Mouhari-Toure, S Akakpo, T Boukari, P Pitché, K Tchangaï-Walla
The purpose of this retrospective study was to obtain data on the epidemiology, clinical features, and outcome of bacterial dermohypodermitis (BDH) observed in a hospital setting hospital in Lomé, Togo. Cases of BDH treated in dermatology and internal medicine of the Lomé university hospital center from January 1999 to December 2009 were reviewed. A total of 104 patients were hospitalized for BDH during the study period. Mean patient age was 42.9 +/- 16.1 years and sex ratio (M/F) was 0.89. Infection by HIV was detected in 10 of 37 patients in whom serology was performed...
April 2011: Médecine Tropicale: Revue du Corps de Santé Colonial
Radheshyam Purkait, Tryambak Samanta, Biswanath Basu, Sutapa Ganguly
Necrotizing fasciitis is a rapidly progressive, potentially fatal infection of the superficial fascia and subcutaneous tissue. It is rare in children. We report three such cases in which differentiating from common soft tissue infection was challenging. High index of suspicion is important as management initiated at an early stage is rewarding.
October 2010: Indian Journal of Dermatology
Allison M Babelay, Jerry W Robinson, Charles S Bryan
No abstract text is available yet for this article.
September 2009: Journal of the South Carolina Medical Association
Yoshihiro Moriwaki, Mitsugi Sugiyama, Masayuki Iwashita, Nobuyuki Harunari, Hiroshi Toyoda, Takayuki Kosuge, Shinju Arata, Noriyuki Suzuki
Tracheostomy is hardly performed in patients with cervical infection close to the site of the tracheostomy. This study aimed to present and clarify the usefulness and safety of open tracheostomy performed by the paramedian approach technique. The procedure is as follows. A 2.5-cm paramedian incision is made for the tracheostomy on the opposite side of infectious focus; the anterior neck muscles are dissected and split; the trachea is fenestrated by a reverse U-shaped incision; and the fenestral flap of the trachea is fixed to the skin...
November 2010: American Surgeon
Jose Torremadé Barreda, Mónica Millán Scheiding, Cristina Suárez Fernández, Jose María Cuadrado Campaña, José Rodríguez Aguilera, Eladio Franco Miranda, Sebastiano Biondo
INTRODUCTION: Fournier's gangrene is a rapidly progressing necrotizing fascitis that affects the perineal and genital area. Mortality still remains high. The aim of this study was to evaluate the epidemiological progression and morbidity-mortality of Fournier's gangrene at our centre over the past 10 years. METHODS: Retrospective study of 41 patients treated for Fournier's gangrene between 1998 and 2007. Variables studied included, demographic variables, aetiology, microbiology, surgical and antibiotic treatment, morbidity, and mortality...
April 2010: Cirugía Española
Mohammd Kazem Moslemi, Mohammad Ali Sadighi Gilani, Ali Akbar Moslemi, Ali Arabshahi
INTRODUCTION: Fournier gangrene is a rare necrotising fascitis of the perineum and genitals caused by a mixture of aerobic and anaerobic microorganisms. The first case was described by Baurienne in 1764 but the condition was named by Fournier in 1883 who reported the cases of five men with the condition with no apparent etiology. Infection most commonly arises from the skin, urethra, or rectal regions. Despite appropriate therapy, mortality in this disease is still high. We report a case of a low rectal malignancy presenting as Fournier gangrene...
2009: Cases Journal
Milan Terzić, Jelena Micić, Sanja Maricić, Nebojsa Arsenović
INTRODUCTION: Fournier's gangrene (FG) is a fulminant form of infective necrotizing fascitis of the perineal, genital, or perianal regions caused by anorectal or urogenital and perineal trauma, more common in patients with diabetes mellitus and alcohol misuse. Despite contemporary management, mortality is still high and averages 20-30%. CASE OUTLINE: A 53-year-old extremely obese diabetic postmenopausal woman with the history of poorly regulated insulin-dependent diabetes mellitus lasting for 20 years, and gangrene followed by autoamputation of minor labia a year ago, was admitted due to severe suprapubic pain and septic fever...
July 2009: Srpski Arhiv za Celokupno Lekarstvo
A S Adoga, A A Otene, S J Yiltok, A Adekwu, O G B Nwaorgu
INTRODUCTION: Cervical necrotizing fasciitis is a fatal and rapid multi- bacteria infection causing extensive necrosis of the subcutaneous tissues and fascial planes with resultant skin gangrene and associated systemic manifestation. The aim of the present study is to report four cases of cervical necrotizing fascitis highlighting their source. METHOD: The case notes of the patients were retrieved and reviewed, literature search was done using Medline, journals available and various texts...
April 2009: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
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