Necrotizing fasciitis history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Yamuna Kondapally, M.B.B.S[2]

Overview

During early stages, the symptoms of necrotizing fasciitis are non-specific. Symptoms include fever, nausea, and fatigue.[1][2]

History

Specific areas of focus when obtaining a history from the patient include history of:[1][2]

Symptoms

  • Symptoms of necrotizing fasciitis include:[1][2]
Type 1 NF Type 2 NF
• Intense pain (out of proportion to examination)
Numbness
Fatigue
Fever
Altered sensorium
• Intense pain (out of proportion to examination)
• GI (nausea, vomiting, and diarrhea)
Fever
Flu like symptoms (aches, chills, and fever)
Fatigue
  • Based on severity of symptoms, necrotizing fasciitis is classified into:[3]
  • Hyperacute (within 24 h of the inciting event):
    • Vibrio species are the notable causative agents
    • Extremely fulminant course with considerable involvement of surrounding tissue
    • Severe septicemia
    • Multiorgan failure
  • Sub-acute (indolent):
    • Areas of soft tissue infections with minimal pain and discomfort
    • Progress over weeks to months

References

  1. 1.0 1.1 1.2 Puvanendran R, Huey JC, Pasupathy S (2009). "Necrotizing fasciitis". Can Fam Physician. 55 (10): 981–7. PMC 2762295. PMID 19826154.
  2. 2.0 2.1 2.2 Taviloglu K, Yanar H (2007). "Necrotizing fasciitis: strategies for diagnosis and management". World J Emerg Surg. 2: 19. doi:10.1186/1749-7922-2-19. PMC 1988793. PMID 17683625.
  3. Wong CH, Wang YS (2005). "The diagnosis of necrotizing fasciitis". Curr Opin Infect Dis. 18 (2): 101–6. PMID 15735411 PMID 15735411 Check |pmid= value (help).

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