Necrotizing Fasciitis - Experience

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What is necrotizing fasciitis?

Necrotizing fasciitis is a term that describes a disease condition of rapidly spreading infection, usually located in fascial planes of connective tissue that results in tissue necrosis (dead and damaged tissue). Fascial planes are bands of connective tissue that surround muscles, nerves, and blood vessels. Fascial planes can bind structures together as well as allow body structures to slide over each other effectively. The disease occurs infrequently, but it can occur in almost any area of the body. Although many cases have been caused by group A beta-hemolytic streptococci (Streptococcus pyogenes), most investigators now agree that many different bacterial genera and species, either alone or together (polymicrobial), can cause this disease. Occasionally, mycotic (fungal) species cause necrotizing fasciitis.

Historically, several people first described this condition in the 1840s to 1870s, and Dr. B. Wilson first termed the condition necrotizing fasciitis in 1952. It is likely that the disease had been occurring for many centuries before it was first described in the 1800s. Currently, there are many names that have been used loosely to mean the same disease as necrotizing fasciitis: flesh-eating bacterial infection or flesh-eating disease; suppurative fasciitis; dermal, Meleney, hospital, or Fournier's gangrene; and necrotizing cellulitis. Body regions frequently have the term necrotizing placed before them to describe the initial localization of necrotizing fasciitis (for example, necrotizing colitis, necrotizing arteriolitis), but they all refer to the same disease process in the tissue. Important in understanding necrotizing fasciitis is the fact that whatever the infecting organism(s), once it reaches and grows in connective tissue, the spread of the infection can be so fast (investigators suggest some organisms can progress to involve about 3 centimeters of tissue per hour) that the infection becomes difficult to stop even with both antimicrobial drugs and surgery.

Mortality (death) rates have been reported as high as 75% for necrotizing fasciitis associated with Fournier's (testicular) gangrene. Patients with necrotizing fasciitis have an ongoing medical emergency that often leads to death or disability if it is not promptly and effectively treated.

Picture of necrotizing fasciitis (flesh-eating disease)
Picture of necrotizing fasciitis (flesh-eating disease)
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Comment from: where he became infected. He didn"t have cuts or o, Male (Caregiver) Published: August 04

My brother entered the hospital on November 15, 2013 after originally being seen in the emergency room (ER) 5 days earlier for sciatica in his left thigh. His leg swelled severely and he was rushed into surgery when he returned to the ER. A second surgery the next evening revealed the necrotizing fasciitis had spread to his left gluteal area and also had begun to enter the lower spinal canal. A lot of tissue was removed from both his leg and buttocks and he was receiving large doses of antibiotics. Showing signs of extraordinary improvement, including standing and walking in place, we were hopeful for a prolonged, but definite recovery. Unfortunately, the infection had reached his brain cavity and he died on Christmas Eve. Doctors said it was from sepsis and Klebsiella. To this day we have no idea just how

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