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Massive infectious soft tissue injury: diagnosis and management of necrotizing fasciitis

Kokab Shah, Ishtiaq Ahmed Chaudhary.

Abstract
Necrotizing fasciitis is a destructive invasive infection of the skin, subcutaneous tissue and deep fascia with relative sparing of muscle. Streptococcal gangrene, progressive bacterial synergistic gangrene (Meleney’s gangrene)1, Fournier’s gangrene and synergistic narcotizing cellulitis all present with extensive skin and soft tissue destruction requiring wide debridement, long term antibiotic therapy and treatment of multi system dysfunction and eventual reconstruction. All these processes have unique characteristics but are commonly considered variations of necrotizing fasciitis. Necrotizing infections, although easily diagnosed, usually require operative debridement in conjunction with antibiotic therapy.
Understanding the natural history and unique characteristics of these processes is essential for effective surgical management and favorable outcome. A comprehensive review of the literature pertaining to this condition is presented outlining the pathophysiology, pattern of presentation and the treatment strategies necessary for successful management of this massive infectious soft tissue disease

Key words: Necrotizing fascitis, gangrene, Fournier


 
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How to Cite this Article
Pubmed Style

Kokab Shah, Ishtiaq Ahmed Chaudhary. Massive infectious soft tissue injury: diagnosis and management of necrotizing fasciitis . RMJ. 2003; 28(2): 63-67.

Web Style

Kokab Shah, Ishtiaq Ahmed Chaudhary. Massive infectious soft tissue injury: diagnosis and management of necrotizing fasciitis . https://www.rmj.org.pk/?mno=8953 [Access: December 07, 2023].

AMA (American Medical Association) Style

Kokab Shah, Ishtiaq Ahmed Chaudhary. Massive infectious soft tissue injury: diagnosis and management of necrotizing fasciitis . RMJ. 2003; 28(2): 63-67.


Vancouver/ICMJE Style

Kokab Shah, Ishtiaq Ahmed Chaudhary. Massive infectious soft tissue injury: diagnosis and management of necrotizing fasciitis . RMJ. (2003), [cited December 07, 2023]; 28(2): 63-67.


Harvard Style

Kokab Shah, Ishtiaq Ahmed Chaudhary (2003) Massive infectious soft tissue injury: diagnosis and management of necrotizing fasciitis . RMJ, 28 (2), 63-67.


Turabian Style

Kokab Shah, Ishtiaq Ahmed Chaudhary. 2003. Massive infectious soft tissue injury: diagnosis and management of necrotizing fasciitis . Rawal Medical Journal, 28 (2), 63-67.


Chicago Style

Kokab Shah, Ishtiaq Ahmed Chaudhary. "Massive infectious soft tissue injury: diagnosis and management of necrotizing fasciitis ." Rawal Medical Journal 28 (2003), 63-67.


MLA (The Modern Language Association) Style

Kokab Shah, Ishtiaq Ahmed Chaudhary. "Massive infectious soft tissue injury: diagnosis and management of necrotizing fasciitis ." Rawal Medical Journal 28.2 (2003), 63-67. Print.


APA (American Psychological Association) Style

Kokab Shah, Ishtiaq Ahmed Chaudhary (2003) Massive infectious soft tissue injury: diagnosis and management of necrotizing fasciitis . Rawal Medical Journal, 28 (2), 63-67.


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