Necrotizing Fasciitis of Lower Limb: A Surgical Emergency
| Autor: | Zafar Iqbal Malik |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: | |
| Zdroj: | Journal of Rawalpindi Medical College, Vol 16, Iss 2 (2012) |
| Druh dokumentu: | article |
| ISSN: | 1683-3562 1683-3570 |
| Popis: | mortality in patients presenting with Necrotizing Fasciitis. Methods: In this descriptive study, patients with Necrotizing Fasciitis were included. After resuscitation, the patients underwent emergency exploration and aggressive surgical debridement. Post-operatively, the patients were managed with broad spectrum antibiotics and serial debridements. Patients who recovered with extensive skin loss underwent skin grafting subsequently with follow-up for 6 months to assess morbidity. Results: Twenty patients with Necrotizing Fasciitis were admitted during study period. Mean age was 57.4 years. Fever, painful swelling, redness, presence of bullae/blistering, skin necrosis and foul smelling discharge were the main clinical findings. Diabetes Mellitus (DM) was the commonest predisposing factor. Sepsis (70%) was the commonest complication. The overall mortality rate was 30% however the most common cause of death was acute Myocardial Infarction (MI). Partial thickness skin grafting was required in 50%. Muscle contractures were noted in 40% patients. Conclusion: Necrotizing Fasciitis, a rare but life threatening condition carries a definite mortality rate. The risk factors for mortality are missed diagnosis, old age, diabetes mellitus and late presentation. |
| Databáze: | Directory of Open Access Journals |
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