Necrotizing fasciitis history and symptoms: Difference between revisions
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:**Areas of [[soft tissue]] infections with minimal pain and discomfort | :**Areas of [[soft tissue]] infections with minimal pain and discomfort | ||
:**Progress over weeks to months | :**Progress over weeks to months | ||
==References== | ==References== | ||
Revision as of 17:28, 18 September 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]
Overview
During early stages, the symptoms of necrotizing fasciitis are non specific and the diagnosis requires high degree of suspicion. The disease is often indistinguishable from cellulitis or abscess early in its evolution.
History
Specific areas of focus when obtaining a history from the patient include history of:
- Minor trauma
- Insect and human bites (soft tissue injury penetrating lesions)
- Recent surgery
- Injection sites
- Illicit intravenous drug use
- Previous MRSA colonization or clindamycin-resistant streptococcal infection
- Skin infection and ulcers
- Foreign travel (resistant or unusual organisms)
- Trauma involving soil contamination (fungal culture)
- Raw sea food ingestion
- Wound exposure to sea water
- Tonsillitis
- Close contacts with impetigo or soar throat
- NSAID's use
- Vaginitis
- Immunosupression
- Diabetes mellitus
- Peripheral vascular disease
- Alcoholism
- Carcinoma
- Smoking
- Varicella infection
- Burns
Symptoms
- Symptoms of necrotizing fasciitis include:
| Type 1 NF | Type 2 NF |
|---|---|
| • Intense pain (out of proportion to examination) • Numbness • Fatigue • Fever • Altered sensorium |
• Intense pain (out of proportion to examination) • GI (nausea, vomiting and diarrhea) • Fever • Flu like symptoms (aches, chills and fever) • Fatigue |
- Based on severity of symptoms, necrotizing fasciitis is classified into:[1]
- Hyperacute (within 24 h of the inciting event):
- Vibrio species are the notable causative agents
- Extremely fulminant course with considerable involvement of surrounding tissue
- Severe septicemia
- Multiorgan failure
- Sub-acute (indolent):
- Areas of soft tissue infections with minimal pain and discomfort
- Progress over weeks to months
- Hyperacute (within 24 h of the inciting event):
References
- ↑ Wong CH, Wang YS (2005). "The diagnosis of necrotizing fasciitis". Curr Opin Infect Dis. 18 (2): 101–6. PMID 15735411 PMID 15735411 Check
|pmid=value (help).