Teelucksingh Sachin, Deonarine Vijai, Islam Shariful, O'Cawich Shamir, Harnanan Dave, Naraynsingh Vijay
Medical Associates Hospital, St Joseph, Trinidad and Tobago.
University of the West Indies, St Augustine, Trinidad and Tobago.
Int J Low Extrem Wounds. 2023 Mar;22(1):6-10. doi: 10.1177/1534734620958605. Epub 2020 Sep 17.
Necrotizing fasciitis, commonly known as "flesh-eating disease," is an aggressive soft tissue infection that destroys the fascia, subcutaneous tissue, and skin. Specific clinical features (crepitus or radiologic features of gas in tissues) either appear late or are of poor sensitivity. Thus, a high index of clinical suspicion is required for early diagnosis and prompt treatment, which are the best methods of minimizing its high associated morbidity and mortality. We present 3 cases to demonstrate diagnostic difficulties and challenges in management and highlight the feature of pain on muscular activity.
坏死性筋膜炎，通常被称为“食肉病”，是一种侵袭性软组织感染，会破坏筋膜、皮下组织和皮肤。特定的临床特征（组织内捻发音或气体的放射学特征）要么出现较晚，要么敏感性较差。因此，早期诊断和及时治疗需要高度的临床怀疑，这是将其高相关发病率和死亡率降至最低的最佳方法。我们展示3例病例以说明诊断困难及管理挑战，并强调肌肉活动时疼痛的特征。
