Necrotizing fasciitis: Difference between revisions
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| Type 2 or Monomicrobial || ● Beta hemolytic streptococcus group A (Streptococcus pyogenes)<br>● High spiky fever<br>● Firm mass with [[pus]] | | Type 2 or Monomicrobial || ● Beta hemolytic streptococcus group A (Streptococcus pyogenes)<br>● High spiky fever<br>● Firm mass with [[pus]] | ||
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| Type 3 or<br> | | Type 3 or<br> Gas gangrene or<br> Clostridial myonecrosis|| ● Fluctuant mass<br>● Dissemination of infection<br>● [[Septicemia]]<br>● [[Renal failure |Acute renal failure]]<br>● Metastatic abscesses<br>● [[Shock|Septic shock]]<br>● Death | ||
|- | |- | ||
| Type 4 || | | Type 4 || | ||
Revision as of 15:33, 26 August 2016
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Necrotizing fasciitis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Necrotizing fasciitis On the Web |
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American Roentgen Ray Society Images of Necrotizing fasciitis |
For patient information on this page, click here
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2] Cafer Zorkun, M.D., Ph.D. [3]
Synonyms and keywords:Phagadena; Phagadena gangrenosum; Meleney’s gangrene; Hemolytic streptococcal gangrene; Flesh eating bacteria; Hospital gangrene; Acute dermal gangrene; Suppurative fasciitis; Synergistic necrotizing cellulitis; Gangrenous ulcer; Malignant ulcer; Putrid ulcer
Overview
Historical Perspective
Classification
- Necrotizing fasciitis may be classified according to international classification of diseases-10 (ICD-10) into:[1]
- M72.6 Necrotizing fasciitis
- Based on microbiological findings, necrotizing fasciitis may be classified into four types
- Type 1: Polymicrobial:
- Type 2: Group A streptococcal
- Type 3: Gas gangrene or clostridial myonecrosis
- Type 4:
| Type | Pathogens |
|---|---|
| Type 1 or Polymicrobial | ● Staphylococcus aureus ● Haemophilus ● Vibrio ● Several other aerobic and anaerobic strains |
| Type 2 or Monomicrobial | ● Beta hemolytic streptococcus group A (Streptococcus pyogenes) ● High spiky fever ● Firm mass with pus |
| Type 3 or Gas gangrene or Clostridial myonecrosis |
● Fluctuant mass ● Dissemination of infection ● Septicemia ● Acute renal failure ● Metastatic abscesses ● Septic shock ● Death |
| Type 4 |
Pathophysiology
Causes
Differentiating Necrotizing fasciitis from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | X Ray | CT | MRI | Ultrasound | Other Imaging Findings | Other Diagnostic Studies
Treatment
Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Future or Investigational Therapies
Case Studies
See also
- Mucormycosis, a rare fungal infection which can present like necrotizing fasciitis
- Toxic shock syndrome
Template:Diseases of the musculoskeletal system and connective tissue
- ↑ ICD-10 version:2016. http://apps.who.int/classifications/icd10/browse/2016/en#/M72.6 2016 Accessed on August 25,2016