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American College of Hyperbaric Medicine Preferred Protocols The term “Meleney’s ulcer” describes a distinct pathological entity also called progressive bacterial synergistic gangrene. When Meleney described the condition, he had no access to sophisticated culture techniques necessary to isolate fastidious anaerobic bacteria that cause the condition. However, he observed that these wounds, described...

From Emerging Infectious Diseases Multidrug-Resistant Acinetobacter Extremity Infections in Soldiers Posted 08/11/2005 Kepler A. Davis; Kimberly A. Moran; C. Kenneth McAllister; Paula J. Gray Abstract War wound infection and osteomyelitis caused by multidrug-resistant (MDR) Acinetobacter species have been prevalent during the 2003–2005 military operations in Iraq. Twenty-three soldiers wounded in Iraq and subsequently...

Research Focus Musculoskeletal Manifestations of HIV Infection from The AIDS Reader ® Posted 03/25/2003 Ann-Marie Plate, MD, Brian A. Boyle, MD Introduction Musculoskeletal disorders are relatively common during the course of HIV infection, although they are more prevalent in the late stages of disease. These disorders cause a significant amount of morbidity, and occasionally mortality, in...

BMJ 2005;330:830-833 (9 April), doi:10.1136/bmj.330.7495.830 Clinical review Necrotising fasciitis Saiidy Hasham, research registrar in plastic surgery1, Paolo Matteucci, specialist registrar in plastic surgery1, Paul R W Stanley, consultant plastic surgeon1, Nick B Hart, consultant plastic surgeon1 1 Department of Plastic Reconstructive and Hand Surgery, Castle Hill Hospital, Cottingham, East Yorkshire HU16...

Necrotizing Fasciitis from Wounds Posted 11/25/2002 Jennifer T. Trent, MD, Robert S. Kirsner, MD Abstract Necrotizing fasciitis (NF) is a rare, life-threatening infection resulting in necrosis of the skin, subcutaneous tissue, and fascia. Mortality rates have been noted as high as 73 percent. Certain conditions can predispose patients to NF, such as diabetes mellitus, immunosuppressive...

E-Medicine 2005 Necrotizing Fasciitis Author: Robert A Schwartz, MD, MPH, Professor and Head, Dermatology, Professor of Pathology, Pediatrics, Medicine, and Preventive Medicine and Community Health, UMDNJ-New Jersey Medical School Coauthor(s): Rajendra Kapila, MD, Associate Professor, Department of Medicine, UMDNJ, New Jersey Medical School Necrotizing fasciitis (NF) is an insidiously advancing soft tissue infection characterized...

Surgery in Africa Article Necrotizing Fasciitis While cellulitis and pyomyositis can be treated with reasonable success and low mortality rates, this is not the case for necrotizing soft tissue infections (NSTI). Here mortality rates range from 30-70% and have not decreased significantly despite modern therapy. (40) Reports from Singapore (41), India (42)...

Necrotizing Fasciitis from Wounds Posted 11/25/2002 Jennifer T. Trent, MD, Robert S. Kirsner, MD Abstract Necrotizing fasciitis (NF) is a rare, life-threatening infection resulting in necrosis of the skin, subcutaneous tissue, and fascia. Mortality rates have been noted as high as 73 percent. Certain conditions can predispose patients to NF, such as diabetes mellitus, immunosuppressive...

E-Medicine 2005 Necrotizing Fasciitis Michael Maynor, MD, Clinical Assistant Professor, Department of Hyperbaric/Emergency Medicine, Louisiana State University School of Medicine For more than a century, many authors have described soft tissue infections. Their occurrence has been on the rise because of an increase in immunocompromised patients with diabetes mellitus, cancer, alcoholism, vascular insufficiencies,...

Necrotizing Fasciitis From Apophysomyces elegans Infection Following Trauma from Infections in Medicine Posted 08/08/2002 Lorraine M. Dowdy, DO, Jose G. Castro, MD, Carlos Duchesne, MD, Timothy Cleary, MD Abstract Following a motorcycle accident, a 29-year-old man had fixation of a femoral fracture with an intramedullary rod. After he was discharged, the wound deteriorated rapidly...

Necrotizing Fasciitis of the Upper Extremity Resulting From a Water Moccasin Bite from Southern Medical Journal Posted 12/30/2002 Michael F. Angel, MD, Feng Zhang, MD, PhD, Matthew Jones, BS, James Henderson, MD, Stanley W. Chapman, MD Abstract and Introduction Abstract Aeromonas hydrophila infection has been described as the cause of necrotizing fasciitis in patients with...

Lisa Banks Presentation to New York College of Podiatric Medicine Surgical Club

Family Practice Notebook Necrotizing Soft Tissue Infection Necrotizing Fasciitis Fournier's Gangrene Definitions Necrotizing Fasciitis Deep subcutaneous infection Fournier's Gangrene Massive infection and swelling of scrotum and penis Extends into perineum or abdominal wall, and legs Pathophysiology Infection spreads between fascia and SQ tissue Fibrous bands prevent infectious spread Present in...

Necrotizing Soft Tissue Infections: A Guide to Early Diagnosis and Initial Therapy Posted 10/15/2003 South Med J 96(9):900-905, 2003. James A. Majeski, MD, PHD, Joseph F. John Jr., MD
Abstract and Introduction Abstract Necrotizing skin and soft tissue infections are caused by many different bacteria, are frequently polymicrobial, and may have a...

from Medscape Critical Care Osteomyelitis and MRSA? Question What are the antibiotics of choice for treatment of chronic bone infection with methicillin-resistant Staphylococcus aureus (MRSA)? Response from Greg S. Martin, MD Assistant Professor, Medicine, Division of Pulmonary Medicine, Emory University School of Medicine; Director, Emory Pulmonary Clinic, Grady Memorial Hospital, Atlanta, Georgia The treatment...