Matus MJA, Partido RA, García MMSE

Language: Spanish
References: 9
Page: 62-65
PDF size: 175.07 Kb.

ABSTRACT

Necrotizing fasciitis is a bacterial infection, characterized by its rapid progression through the superficial fascia and subcutaneous cell tissue, it has a higher prevalence in adults, in children it is a rare disease but with a fulminating outcome and a high mortality rate, especially in the neonatal period. It is the most serious presentation of soft tissue infection, due to rapid destruction and tissue necrosis and its progression in one third of patients of shock and multi-organfailure. Early symptoms are nonspecific, and the diagnosis is based on a high index of suspicion, since in early stages it is often confused with uncomplicated cellulite. The most important determinants of mortality are timing and suitability of debridement. necrotizing fasciitis still represents a diagnostic challenge for clinicians. The central principles for the management of these infections have remained unchanged for the past 70 years: debridement of infected and necrotic tissue, rapid onset of broad-spectrum antibacterial agents that cover gram-positive, gram-negative, and anaerobic pathogens.

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