Browse > Article

Analysis of Necrotizing Fasciitis Patient by Causative Pathogens  

Park, Sun Hyung (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School)
Noh, Bok Kyun (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School)
Kim, Eui Sik (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School)
Hwang, Jae Ha (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School)
Kim, Kwang Seog (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School)
Lee, Sam Yong (Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School)
Publication Information
Archives of Plastic Surgery / v.34, no.3, 2007 , pp. 319-324 More about this Journal
Abstract
Purpose: Necrotizing fasciitis is a rapid progressive, life-threatening disease. Many organisms have been identified for causative pathogens of necrotizing fasciitis. And necrotizing fasciitis caused by Vibrio vulnificus is a matter of grace concern in Southwest seashore of Korea recently. But concrete analysis between these pathogens was not executed yet. Methods: Sixty necrotizing fasciitis patients were included in this study. We divided the patients into 2 groups: Group A was the case which Vibrio vulnificus was cultured for causative pathogen of necrotizing fasciitis, and Group B was the case of other organisms. And we analysed each group for treatment, progression and prognosis. Results: There was no significant difference between two groups in total hospital stay but there was a great difference in ICU stay and progression to septic shock. Also, there was a great difference in mortality within 48 hours but there was no difference in mortality of 48 hours after hospital visit. Conclusion: This indicates that intial management of necrotizing fasciitis cased by Vibrio vulnificus is the key of treatment. So initial medical management with early surgical intervention is necessary for necrotizing fasciitis.
Keywords
Necrotizing fasciitis;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Wilson B: Necrotizing fasciitis. Am Surg 18: 416, 1952
2 Umbert IJ, Winkelmann RK, Oliver GF: Necrotizing fasciitis. a clinical, microbiological and histologic study of 14 patients. J Am Acad Dermatol 20: 774, 1989
3 Norman JB, William WS, Lori MG: CT evaluation of soft and muscle infection and inflammation: a systematic compartmental approach. Skeletal Radiol 24: 317, 1995
4 Riseman JA, Zamboni WA, Curtis A, Graham DR, Korad HR, Ross DS: Hyperbaric oxygen therapy for necrotizing fasciitis reduces mortality and the need for debridements. Surgery 108: 847, 1990
5 Goo JS, Kim DW, Han KS, Suk JS, Park MH, Kim SI: Lactose fermenting vibrio(Vibrio vulnificus) septicemia. Korean J Pathol 16: 463, 1982
6 Conn HO: Spontaneous peritonitis and bacteremia in Laennec's cirrhosis caused by enteric organism: a relatively common but rarely recognized syndrome. Ann Intern Med 60: 568, 1964
7 Kavitha SK, Radhey SB, Navin MA: Necrotizing fasciitis. Am Fam Physic 55: 1691, 1996
8 Bilton BD, Zibari GB, Mcmillan RW, Aultman DF, Dunn G, Mcdonald JC: Aggressive surgical management of necrotizing fasciitis serves to decrease mortality: a retrospective study. Am Surg 64: 397, 1998
9 Huh KS, Choi BS, Chun IK, Kim YP: Two cases of streptococcal gangrene. Korean J Dermatol 19: 667, 1981
10 Tsekouras AA, Johnson A, Miller G, Orton HI: Pseudomonas aeruginosa necrotizing fasciitis: a case report. J Infect 37: 188, 1998
11 Rouse TM, Melangoni MA, Schulte WJ: Necrotizing fasciitis: a preventable disaster. Surgery 92: 765, 1982