Article (Scientific journals)
Fasciites nécrosantes: stratégie diagnostique et thérapeutique
Smeets, Laurent; Bous, Aurélie; Lecoq, Jean-Pierre et al.
2006In Revue Médicale de Liège, 61 (4), p. 240-244
Peer reviewed
 

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Abstract :
[en] The necrotizing fasciitis is a medico-surgical emergency, characterized by the rapid speard of the infection in the subcutaneous tissue, involving fascia superficialis. Peaucity of cutaneous findings early in the course of the disease makes diagnosis a challenge for physician. Pain out of proportion to clinical findings, fever and signs of systemic toxicity are the keys in identification of necrotizing fasciitis. Delayed diagnosis lead to sepsis syndrom and/or multiple organ failure and correlate with poor oucome. Radiolographs, CT-scan or MRI are main radiologic studies, but such procedures should never delay surgical intervention. Intravenous antibiotics, fluid and electrolyte management and analgesia are needed in addition to radical debridment. Clindamycin, hyperbaric oxygen therapy and intravenous immunoglobulins are discussed treatments. Only prompt recognition and immediat care warrant a lower mortality and morbidity for this life-threatening infection.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Smeets, Laurent ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Bous, Aurélie ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie maxillo-faciale et plastique
Lecoq, Jean-Pierre ;  Centre Hospitalier Universitaire de Liège - CHU > Anesthésie et réanimation
Damas, Pierre ;  Université de Liège - ULiège > Soins intensifs
Heymans, O.
Language :
French
Title :
Fasciites nécrosantes: stratégie diagnostique et thérapeutique
Alternative titles :
[en] Necrotizing fasciitis: Diagnosis and treatments
Publication date :
April 2006
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Hopital de Baviere, Liège, Belgium
Volume :
61
Issue :
4
Pages :
240-244
Peer reviewed :
Peer reviewed
Additional URL :
Available on ORBi :
since 30 August 2010

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