necrotising fasciitis Flashcards
1
Q
type 1
A
caused by mixed anaerobes and aerobes
2
Q
type 2
A
caused by streptococcus pyogenes
3
Q
risk factors
A
skin - trauma, burns, infection
diabetes
IVDU
immunosuppression
4
Q
when are diabetes most at risk
A
if they are treated with SGLT-2 inhibitors
5
Q
most commonly affected site
A
perineum
6
Q
features
A
acute onset
pain, swelling, eythema
rapidly worsening cellulitis with pain outkeeping of physical features
extremely tender
7
Q
late signs
A
skin necrosis
gas gangrene
fever, tachycardia
8
Q
Mx
A
urgent surgical debridement
IV Anitbx
