Necrotizing fasciitis

Classification according to ICD-10
M72.6	Necrotizing fasciitis
ICD-10 online (WHO version 2019)

In the necrotising fasciitis (lat. Necrotizing fasciitis ) is triggered by bacteria, very severe (foudroyant) extending infectious disease of the lower skin and fascia . It often affects patients with diabetes mellitus or other diseases that lead to circulatory disorders ( smoker's leg ) or reduced body defense. The incidence of the disease is 4 / 1,000,000 people per year.

Fasciitis on the left leg with partial necrosis

The entry portal for the pathogens can be the smallest skin injuries or injections. At the beginning of 2005, the first cases became known in which the disease was caused by antibiotic- resistant staphylococci , and increasingly also MRSA .

Necrotizing fasciitis begins with unspecific symptoms such as severe local pain and fever. Within a short time, the affected areas swell, become hot, red and blister. Later, in these areas, complete death ( necrosis ) of the skin (cutis), subcutaneous tissue (subcutis) and the muscle fascia can occur. The infected tissue must be surgically removed as quickly as possible - even before the pathogen is detected, otherwise the disease can lead to extensive skin loss and death within a short time.

A special form is Fournier gangrene as a febrile gangrene of the groin and genital region, which occurs mainly in men. In newborns, omphalitis often turns into necrotizing fasciitis of the umbilical region.

literature

• S. Hasham, P. Matteucci, PR Stanley, NB Hart: Necrotising fasciitis. In: BMJ. 2005 Apr 9; 330 (7495), pp. 830-833. Review. PMID 15817551
• WS Hsieh, PH Yang, HC Chao, JY Lai: Neonatal necrotizing fasciitis: a report of three cases and review of the literature. In: Pediatrics. 1999 Apr; 103 (4), p. E53. Review. PMID 10103345

Web links

• What are “Carnivorous Bacteria” and How Do You Fight Them? , National Geographic

Individual evidence

1. ↑ ^{a b c d} Horas U. Herbst U. Hamann, A. Ernst S: Necrotizing fasciitis caused by group G streptococci. In: Orthopedist. 2008; 37, pp. 592-594.
2. ↑ ^{a b} C. Heitmann, M. Pelzer, B. Bickert, H. Menke, G. Germann: Surgical concept and results in necrotizing fasciitis. In: surgeon. 2001, 72, pp. 168-173.
3. ↑ ^{a b} H. Ryssel, G. Germann, K. Riedel, E. Köllensperger: Surgical concept and results in necrotizing fasciitis. In: surgeon. 2007, 78, pp. 1123-1129.
4. ^ R. Kaul, A. Mc Geer, D. Low, K. Green: Population based surveillance for group A streptococcal necrotizing fasciitis: clinical features, prognostic indicators and microbiologic analysis of seventy cases. In: Am J Med. 1997; 103, p. 18.
5. ^ J. Friederichs, S. Torka, M. Militz, V. Bühren, S. Hungerer: Necrotizing soft tissue infections after injection therapy: Higher mortality and worse outcome compared to other entry mechanisms . In: The Journal of Infection . tape 71 , no. 3 , September 2015, ISSN  1532-2742 , p. 312-316 , doi : 10.1016 / j.jinf.2015.05.013 , PMID 26048202 .
6. ↑ books.google.de Entry on necrotizing fasciitis on Googlebooks (German), accessed on August 19, 2014.

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !