Necrotising Fasciitis Flashcards
1
Q
Causes of nec fasc
A
Type 1 - mixed anaerobes and aerobes - after surgery in diabetics
Type 2 - strep pyogenes
2
Q
Risk factors for nec fasc
A
Skin factors: recent trauma, burns, soft tissue infections.
DM
IV drug use
Immunosuppression
3
Q
Where is the most common site affected
A
Perineum (Fournier’s gangrene)
4
Q
Symptoms of nec fasc
A
Acute onset of pain, swelling, and erythema at site, extremely tender over area
5
Q
Signs of nec fasc
A
Fever and tachycardia, presents as rapidly worsening cellulitis with pain out of keeping with physical features. Skin necrosis and crepitus/gas gangrene are late signs
