Necrotising Fasciitis Flashcards
1
Q
definition
A
rapidly progressive infection of the deep fascia –> necrosis of subcutaneous tissue
2
Q
pain?
A
yes - intense, over affected skin and underlying muscle
3
Q
Cause of type 1
A
mix of aerobic + anaerobic bacteria, usually following abd surgery/diabetes
4
Q
Cause of type 2
A
group A streptococci, arises spontaneously in previously healthy people
5
Q
Treatment + management
A
radical debridement +/- amputation, IV antibiotics
6
Q
Antibiotics for type 1
A
broad spectrum combo, to include metronidazole
7
Q
Antibiotics for type 2
A
high doses of benzylpenicillin + clindamycin
