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Introduction Necrotizing fasciitis is a rapidly progressing fascial layer necrosis with a high mortality rate. A high clinical index of suspicion was required for diagnosis in NF due to a lack of skin findings in NF, diagnosis was difficult, and a high clinical index of suspicion was required. The use of ultrasound can help clinicians in improving diagnostic speed and accuracy, resulting in improved patient care and patient outcomes. This literature review aims to investigate the use of point-of-care ultrasonography in diagnosing necrotizing fasciitis. U201d and u201d ultrasonography (u201d or u201c) are examples of catheterization and ultrasonography, U201d or u201d (u201d) u201d or u201d. Among the 540 papers reviewed, only 21 were related to the diagnosis of necrotizing fasciitis by ultrasonography, according to the authors. Conclusion Although the use of ultrasound technology in diagnosing NF was shown in several papers with promising findings, more studies are needed to determine its diagnostic accuracy and potential to minimize time delay before surgical intervention, morbidity, and mortality.
Source link: https://doi.org/10.1007/s40477-022-00761-5
Case description Saga Medical School Hospital's emergency division was admitted early August by a 65-year-old Asian man with alcoholic cirrhosis complicated by esophageal varices, causing acute pain, redness, swelling, and purpura of the lower extremities. Gram-negative rods were morphologically compatible with V. vulnificus, according to the Gram stain of the small amount of discharge from the test lesion's small amount of discharge. Before the patient underwent emergency surgical arrest, two sets of blood culture, intravenous meropenem, and minocycline were immediately administered. Both blood culture and wound culture extracted Gram-negative rods, which were later identified as V. vulnificus by mass spectrometry, matrix-assisted laser desorption/ionization. Conclusions The pre-test results of V. vulnificus infection was further backed up by on-site Gram staining in the emergency division.
Source link: https://doi.org/10.1186/s13256-022-03731-x
Necrotizing fasciitis is one of the most common soft tissue infections, with a high risk of major amputation and a mortality range ranging from 6 to 37 percent, which has not changed in the last 20 years. The prognosis is largely determined by early surgical resection of necrotic tissue. Symptoms of necrotizing fasciitis mimic those of common skin infections, such as erysipelas and cellulitis, making prompt surgical diagnosis difficult.
Source link: https://doi.org/10.1007/s40477-022-00717-9
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