Abstract
Introduction: Necrotizing fasciitis (NF) is a rapidly progressive inflammatory infection of the fascia and necrosis of subcutaneous tissues. It is a surgical emergency which requires high degree of suspicion for early diagnosis, and treatment in order to reduce morbidity and mortality.
Aim: This study is done to analyse NF- its clinical presentation, and microbiological characteristics. Study also emphasizes on surgical management and prognosis of this condition.
Methodology: This is a prospective study which included all the 40 patients admitted and treated for NF in Govt. T D Medical College, vandanam between January 2016 and January 2017.
Results: There were 40 patients admitted and treated with NF during the study period. The mean age of occurrence was 55.9 years and who were predominantly male. Most common site affected was lower limb.
The patients presented with necrotic patch, blebs, ulcer, cellulitis, skin erythema, Ulcer with cellulitis, Microbiologically most of the culture yielded growth, with polymicrobial being the most common type isolating Pseudomonas, Staphylococcus, Klebsiella and . Escherichia coli are the organisms causing it.
The majority of them responded well to antibiotics and surgical debridement with few patients needing amputation.
The mortality rate in our study was 10%.
Keywords: Culture, Diabetes mellitus, Necrotizing fasciitis, surgical debridement.
References
- Nischal N, Babu GR,Manjunath BD, Santhosh CS. Clinico:Microbiological Profile of Necroitizing Fasciitis in a tertiary Care Hospital. International Journal of Scientific Study 2015:3(5):95-98.
- Wong C-h et al (2003) Necrotizing Fasciitis: Clinical presentation, microbiology, and determinants of mortality. J Bone Joint Surg 85:88
- Tang WM,Ho PL ,Fung KK, Vuen Ky, Leong JC. Nerotizing fasciitis of a limb.J Bone Joint Surg Br 2001:83:709-14.
- Ming jong blair et al necrotizing fasciitis in South east Taiwan clinical features microbiology and prognosis.International journal of infectious disease 2008:4-15.
- Lin C et al (2001) Necrotizing fasciitis of the head and neck: an analysis of 47 cases. Plast Reconstr Surg 107:1684–1693
- Morgan WR et al (2007) Necrotizing fasciitis due to a methicillin sensitive Staphylococcus aureus isolate harboring an enterotoxin gene cluster. J Clin Microbiol 45:668–71
- Jain D, Kumar Y, Vasishta RK, Rajesh L, Pattari SK, Chakrabarti A (2006) Zygomycotic necrotizing fasciitis in immunocompetent patients: a series of 18 cases. Mod Pathol 19:1221–1226
- Fustes-Morales A, Gutierrez-Castrellon P, Duran-Mckinster C, Orozco-Covarrubias L, Tamayo-Sanchez L (2002) Necrotizing fasciitis: report of 39 pediatric cases. Arch Dermatol 138:893–899
- Rangaswamy M (2001) Necrotizing fasciitis: a 10-year retrospective study of cases in a single university hospital in Oman. Acta Trop 80:169–175
- Umbert IJ, Winkelmann RK, Oliver GF, Peters MS (1989) Necrotizing fasciitis: a clinical, microbiologic, and histopathologic study of 14 patients. J Am Acad Dermatol 20:774–781
Corresponding Author
Dr IJ Jinu
Associate Professor, Department of General Surgery, Govt. T.D Medical, College, Alappuzha, Kerala, India
DOI: https://dx.doi.org/10.18535/jmscr/v6i10.192
