Concluded Case

Necrotising Fasciitis

Non Diabetic pts injuries by wooden door, Within 1 day full hand infected? Diagnosis & Treatment?

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Necrotizing fasciitis. Due to crushed injury. A serious bacterial infection that destroys tissue under the skin. Flesh-eating disease occurs when bacteria enter the body through a break in the skin. People with a weakened immune system can be at greater risk of developing this condition. A Streptococcus (group A strep) are the most common cause of necrotizing fasciitis. Initial treatment includes ampicillin or ampicillin–sulbactam combined with metronidazole or clindamycin . Anaerobic coverage is quite important for type 1 infection; metronidazole, clindamycin, or carbapenems (imipenem) are effective antimicrobials.

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Necrotizing fasciitis. Due to crushed injury. A serious bacterial infection that destroys tissue under the skin. Flesh-eating disease occurs when bacteria enter the body through a break in the skin. People with a weakened immune system can be at greater risk of developing this condition. A Streptococcus (group A strep) are the most common cause of necrotizing fasciitis. Initial treatment includes ampicillin or ampicillin–sulbactam combined with metronidazole or clindamycin . Anaerobic coverage is quite important for type 1 infection; metronidazole, clindamycin, or carbapenems (imipenem) are effective antimicrobials.

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Yes fulminating necrotising fasciitis Debridement and dressings with bactigrass Broadspectrum antibiotics Antiinflamatory Multivitamins

Thanx dr Priyanka Pawar
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Crush injury in a diabetic Cutaneous and subcutaneous soft tissue necrosis Sofra tulle dressings after debridement. Antibiotics, metronidazole, flucanazole . Pus culture Tight control of DM with insulin.

Thank you ,Dr Rahmani
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Necrotising fasciitis

Thank you Dr Vipin Bihari Jain
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necrotising fascitis immediate wound debridement broad spectrum antibiotics needs to be given analgesics are considered

Necrotizing fasciitis Extensive debridement and IV antibiotics

It looks like pyoderma gangrenosum, which could be emergency, since it aggravates very fast . Trt is antibiotics with oral steroids. I would suggest to have trt under the expert

Necrotising fascitis

Necrotizing fasciitis

Sorry Did not go through others answer
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