INTRODUCTION Cervical necrotizing fasciitis is a rare but very severe infection that affects the soft-tissues of the cephalic extremity. Cervical necrotizing fasciitis most frequently occurs secondarily to inflammatory odontogenic disorders and represents the most severe infection of maxillofacial spaces, with a high lethal potential. MATERIALS AND METHODS In this study, we selected 55 patien...

LEARNING OBJECTIVES After studying the article, the participant should be able to: 1. Describe the most common bacteriology of necrotizing fasciitis and purpura fulminans. 2. Describe the "finger test" in the diagnosis of necrotizing fasciitis. 3. Discuss the three presentation patterns of necrotizing fasciitis. 4. Discuss the pathophysiology of acute infectious purpura fulminans. 5. Discuss th...

INTRODUCTION Cervical necrotizing fasciitis is an aggressive infection with high morbidity and mortality. We present a case of cervical necrotizing fasciitis and descending mediastinitis in a healthy young man, caused by unilateral tonsillitis with a successful outcome without aggressive debridement. CASE PRESENTATION A 41-year-old man was admitted to our unit with a diagnosis of severe acute...

Benign subcutaneous emphysema is a rare clinical entity, documented by only a small collection of case reports. The presence of crepitus on physical examination and subcutaneous gas on radiographs is concerning for necrotizing fasciitis. Necrotizing fasciitis is a dangerous and deadly infection accounting for 500 to 1000 cases annually in the United States, with mortality rates of up to 76%. De...

OBJECTIVES Necrotizing fasciitis (NF) is rare but life threatening soft tissue infection characterized by a necrotizing process of the subcutaneous tissues and fascial planes. The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score has been verified as a useful diagnostic tool for detecting necrotizing fasciitis. A certain LRINEC score might also be associated with mortality. The...

OBJECTIVE To compare specific characteristics and clinical outcomes of monomicrobial necrotizing fasciitis caused by Aeromonashydrophila and Klebsiella pneumoniae. MATERIAL AND METHODS Cases of monomicrobial necrotizing fasciitis caused by A. hydrophila (n = 11) and K. pneumoniae (n = 7) over an 8-year period were retrospectively reviewed. Differences in mortality, patient characteristics, cl...

The optimal management of necrotizing pancreatitis continues to evolve. Currently, conservative intensive care treatment represents the primary therapy of acute severe necrotizing pancreatitis, aiming at prevention of organ failure. Following this mode of treatment most patients with sterile necroses can be managed successfully. Surgery might be considered as an option in the late phase of the ...

Figure 1. (a) Left medial thigh showing discoloration and swelling. Maximal pain to palpation was in the centrally marked area, but pain could be elicited as far back as the dotted lines. (b) Left medial thigh following surgical debridement down to viable fat, fascia, and muscle. DESCRIPTION A 28-year-old woman with a raised body mass index presented feeling unwell with a 16-hour history of inc...

Necrotizing fasciitis is an uncommon but life-threatening infection primarily involving the superficial fascia. Note the blue-gray color change of the vulvar skin lateral to areas of ulceration (A), The superficial fascia of the vulva is in continuity with that of the anterior abdominal wall. This incision reveals normal-appearing subcutaneous tissue in its superior aspect compared to the dull ...

Early recognition and treatment of necrotizing fasciitis (NF) is essential for survival. Idiopathic NF occurs in the absence of a known causative factor or portal of entry for bacteria, so it may not be considered immediately when patients are admitted. This study aimed to identify specific features of idiopathic NF that are important for early recognition and to assess factors associated with ...