NECROTIZING FASCIITIS

27 Jun 2019

ABSTRACT –

Necrotizing Fasciitis is a rare condition in which a flesh eating bacteria spreads the infection in the fascial planes of connective tissue very quickly that results in its death. It is a type of soft tissue infection and can become severe, if not treated on time.

CAUSES –

Necrotizing Fasciitis is usually caused by common bacteria known as Group A Streptococcus. However, there are several other types of bacteria which can give rise to this condition:

  • Aeromonas hydrophila
  • Clostridium
  • E.coli
  • Klebsiella
  • Staphylococcus aureus

SIGNS AND SYMPTOMS –

  • Fatigue
  • Nausea and vomiting
  • Weakness
  • Fever
  • Sweating
  • Dizziness
  • Irregular urination
  • Redness and swelling

DIAGNOSIS –

  • Physical Examination
  • Blood Test
  • CT or MRI Scans
  • Laboratory testing like biopsy to analyze fluid and tissue sample to detect the infected bacteria

TREATMENT –

  • Intravenous Immunoglobulin (IVIG)
  • Intravenous Antibiotic Therapy
  • Surgery to eradicate damaged or dead tissues which prevents the spread of infection.
  • Medications such as strong antibiotics
  • In some case, amputations of affected limbs is recommended
  • Hyperbaric oxygen therapy to protect healthy tissues
  • Observing heart activity
  • Breathing aids
  • Blood Transfusions

PREVENTION –

  • Maintain good hygiene
  • Wounds must be treated promptly
  • Avoid physical contact with people who carry Methicillin-Resistant Staphylococcus Aureus (MRSA) infection
  • Avoid eating sea foods which might be contaminated with Vibrio vulnificus bacteria.
  • Stay in healthy surroundings and environment

EPIDEMIOLOGY –

  • It’s a non-prevalent condition wherein around 1 in 100,000 people gets affected with this condition in some areas of the world.

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