Necrotising Fasciitis Flashcards Preview

Infectious diseases > Necrotising Fasciitis > Flashcards

Flashcards in Necrotising Fasciitis Deck (6):
1

What is necrotising fasciitis and why is it of particular importance?

Infection of the deep fascia, rapidly progressing

MEDICAL EMERGENCY and particularly hard to spot in the early stages

2

How is it classified?

According to the causative organism:
- type 1 is caused by mixed anaerobes and aerobes (often occurs post-surgery in diabetics)
- type 2 is caused by Streptococcus pyogenes

3

What are the features?

- acute onset
- painful, erythematous lesion develops
- extremely tender over infected tissue

4

What is the management?

- urgent surgical referral for debridement or amputation
- I.V. antibiotics e.g. Benzylpenecillin and clindomycin

5

What are the normal causative organisms?

Group A beta-haemolytic streptococci are the major cause, though infection is often polymicrobial

6

What is Fournier's gangrene?

Necrotising fasciitis localised to the scripts and perineum