Three Cases of Necrotizing Fasciitis with Aggravated Lesions in Spite of Improvement of Inflammatory Findings

Three cases of necrotizing fasciitis are presented. In all cases aggressive antibiotic therapy were performed soon after admission, and fever up, leucocytosis and elevation of CRP improved. However, a follow-up CT scan taken several days after admission revealed severe aggravation of lesions; surgic...

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Bibliographic Details
Published in:Nihon Kyukyu Igakukai Zasshi 1998/10/15, Vol.9(10), pp.556-560
Main Authors: Sakano, Tsutomu, Yoshioka, Tomoki, Kimura, Shin-ichi, Tanaka, Reiichiro, Matsuyama, Shigenari, Shibuya, Masanori
Format: Article
Language:English
Subjects:
computerized tomography (CT) scan
inflammatory findings
necrotizing fasciitis
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Summary:Three cases of necrotizing fasciitis are presented. In all cases aggressive antibiotic therapy were performed soon after admission, and fever up, leucocytosis and elevation of CRP improved. However, a follow-up CT scan taken several days after admission revealed severe aggravation of lesions; surgical treatment was performed immediately. The amount of gas production was small compared with the area of necrosis in two cases. It was suggested during the follow-up, that X-ray's nor inflammatory findings such as body temperature, leucocyte and CRP do not necessarily reflect aggravation of the lesions, and that frequent CT scan is essential.
ISSN:0915-924X
1883-3772
DOI:10.3893/jjaam.9.556