Treatment of Necrotizing Fasciitis Using External Fixation Material and Vacuum Therapy


Necrotizing fasciitis (NF), generally referred to as flesh-eating disease, is an infection that causes the death of sections of soft tissue in the body. It is a serious sudden onset disease which is spreading rapidly. The most frequently infected areas are the limbs and perineum. Symptoms include red or purple skin in the affected area, intense pain, fever and vomiting.

The infection usually enters the body through a split in the skin, like a cut or burn. Risk factors include impaired immune function such as diabetes or cancer, obesity, alcoholism, intravenous drug use and peripheral artery disease.

Proper wound treatment and handwashing may avoid necrotizing fasciitis. Deleting the contaminated tissue and intravenous antibiotics is normally managed with surgery. A mixture of antibiotics, such as penicillin G, clindamycin, vancomycin, and gentamicin, is sometimes used.

Necrotizing fasciitis is a rare but life-threatening infection, frequently caused by group A streptococcus (GAS), which requires timely diagnosis and urgent medical treatment. Surgical intervention consists of removing all the affected tissue, as well as preservation of skin tissue to prevent excessive mutilation. In this case report we describe a method to minimalize the mutilation by using external fixation material, with favorable outcome

Necrotizing fasciitis is a rapidly spreading infection and involves primarily the muscle fascia. Due to the poor blood supply of the fascia, infection is rapidly spread along this fascia without affecting the muscle itself. Infections can be divided into two categories: monomicrobial and polymicrobial. Necrotizing fasciitis is mainly caused by a monomicrobial infection with group A streptococcus (GAS) or Staphylococcus aureus. Polymicrobial necrotizing infections are caused by a combination of aerobic and anaerobic bacteria

The Intermittent Vacuum Therapy (IVT) is a treatment for venous and arterial complications and for recovery (after sport accidents and vascular complaints). It should be able to regulate venous reflux, increase lymphatic flow and boost blood flow in the periphery and muscles with the assistance of normal and low pressure

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