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  • Title: [Necrotizing fasciitis: a medical and surgical emergency. Apropos of a case].
    Author: Cornu E, Christides C, Lacroix P, Virot P, Sekkal S, Serhal C, Bertin F, Laskar M.
    Journal: J Chir (Paris); 1992 Mar; 129(3):169-71. PubMed ID: 1639889.
    Abstract:
    We report about a 66-years-old obese and diabetic female patient, treated with anti-inflammatories for osteoarthritis of the hip and operated for varices of the lower limbs by a bilateral stripping of the internal saphenous veins, who presented with a mortal necrotizing fasciitis during the postoperative period. Necrotizing fasciitis is a severe, infrequent disease jeopardizing the vital prognosis, in which an appropriate and early treatment (medical, using antibiotics, and surgical by extensive debridement) can prevent a fatal outcome. The most often involved germs are streptococci (45%). The association of anaerobic and aerobic germs sometimes causes mixed cellulitis. The vital prognosis is always threatened by postoperative fasciitis. The mortality rate ranges from 50 to 75%, the main causes of death being a septic shock or pulmonary embolism. The functional prognosis of the surviving patients depends on the extent and quality of surgery.
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