Necrotizing soft-tissue infections

Surg Clin North Am. 1994 Jun;74(3):591-607.

Abstract

In the realm of clinical practice, this disease entity defies applicability to any classification scheme. Of paramount importance is the early identification of all necrotizing soft-tissue infections. This requires a high index of suspicion, aided by recognition of various risk factors and organ system dysfunction out of proportion to the extent of local signs and symptoms. Expedient, aggressive surgical therapy is imperative: resuscitation, wide débridement, and antibiotic therapy. Once the infection has been controlled, continued supportive care, reconstruction, and rehabilitation can proceed.

Publication types

  • Review

MeSH terms

  • Clostridium Infections / diagnosis
  • Clostridium Infections / drug therapy
  • Clostridium Infections / surgery
  • Extremities / microbiology
  • Humans
  • Hyperbaric Oxygenation
  • Necrosis
  • Perineum / microbiology
  • Streptococcal Infections / diagnosis
  • Streptococcal Infections / drug therapy
  • Streptococcal Infections / surgery
  • Surgical Wound Infection* / diagnosis
  • Surgical Wound Infection* / drug therapy
  • Surgical Wound Infection* / surgery