Our profile – necrotizing soft tissue infections

Necrotizing soft tissue infections – or cutaneous necrotizing fasciitis of the skin (DHBN-FN) – are rare, serious and underdiagnosed (about 50% misdiagnosis at initial presentation). In most cases, it requires hospitalization in the intensive care unit and is associated with a mortality rate of about 25%, and a significant deterioration in long-term quality of life.

Urgent, complex and multidisciplinary, the management of DHBN-FN relies on three main components: emergency surgery to remove necrotic tissue, early treatment with probabilistic antibiotics and treatment for organ failure if present. After the acute phase, the period of care is prolonged until the skin generally recovers, and motor recovery requires intensive rehabilitation.

A complete file to better diagnose and take care of them.

To read:

Hua C, Chosidow O. Diagnosis, epidemiology, and clinical biology of serious skin infections. Rev. Pratt 2023; 73 (2); 144-9.

Urbina T, Chusterman B. Two special forms: cervical and facial fasciitis and Fournier’s gangrene. Rev. Pratt 2023; 73 (2); 150-2.

Hua C, Chosidow O. Differential diagnosis of serious skin infections. Rev. Pratt 2023; 73 (2); 153-5.

Urbina T, de Prost N. Acute management of necrotizing skin and soft tissue infections. Rev. Pratt 2023; 73 (2); 156-9.

Tanaka S, Montravers. Therapeutic implications of the microbiology of serious skin infections. Rev. Pratt 2023; 73 (2); 160-4.

Sedbon T. Prevention of the consequences of serious skin infections, reconstruction and rehabilitation. Rev. Pratt 2023; 73 (2); 165-8.

By ProstN. Rev. Pratt 2023; 73 (2); 169.