DETAILED DISCUSSION OF NECROTIZING FASCIITIS.
A SOFT TISSUE INFECTION. USUALLY CALLED AS FLESH EATING BACTERIAL INFECTION. CAUSED BY BACTERIA. AFFECTS THE SOFT SKIN TISSUES
DETAILED DISCUSSION OF NECROTIZING FASCIITIS.
A SOFT TISSUE INFECTION. USUALLY CALLED AS FLESH EATING BACTERIAL INFECTION. CAUSED BY BACTERIA. AFFECTS THE SOFT SKIN TISSUES
NECROTISING FASCIITIS- the flesh eating infection
#surgicaleducator #necrotisingfasciitis #surgicaltutor #babysurgeon #usmle
· Dear Viewers
· Greetings from “Surgical Educator”
· Today in this episode I have discussed about Necrotising Fasciitis- the flesh eating infection
· It is common in immunocompromised patients even after trivial trauma.
· I have discussed about the overview,etiology,types,clinical features,complications and treatment of Necrotising Fasciitis
· I hope this video is interesting and also useful to all of you
· You can watch the video in the following links:
· surgicaleducator.blogspot.com youtube.com/c/surgicaleducator
Thank you for watching the video
Include infections of skin, subcutaneous tissue, fascia, and muscle, encompass a wide spectrum of clinical presentations, ranging from simple cellulitis to rapidly progressive necrotizing fasciitis.
Diagnosing the exact extent of the disease is critical for successful management of a patient of soft tissue infection
NECROTISING FASCIITIS- the flesh eating infection
#surgicaleducator #necrotisingfasciitis #surgicaltutor #babysurgeon #usmle
· Dear Viewers
· Greetings from “Surgical Educator”
· Today in this episode I have discussed about Necrotising Fasciitis- the flesh eating infection
· It is common in immunocompromised patients even after trivial trauma.
· I have discussed about the overview,etiology,types,clinical features,complications and treatment of Necrotising Fasciitis
· I hope this video is interesting and also useful to all of you
· You can watch the video in the following links:
· surgicaleducator.blogspot.com youtube.com/c/surgicaleducator
Thank you for watching the video
Include infections of skin, subcutaneous tissue, fascia, and muscle, encompass a wide spectrum of clinical presentations, ranging from simple cellulitis to rapidly progressive necrotizing fasciitis.
Diagnosing the exact extent of the disease is critical for successful management of a patient of soft tissue infection
Top 5 Deep Learning and AI Stories - October 6, 2017NVIDIA
Read this week's top 5 news updates in deep learning and AI: Gartner predicts top 10 strategic technology trends for 2018; Oracle adds GPU Accelerated Computing to Oracle Cloud Infrastructure; chemistry and physics Nobel Prizes are awarded to teams supported by GPUs; MIT uses deep learning to help guide decisions in ICU; and portfolio management firms are using AI to seek alpha.
Cellulitis is a bacterial infection of the deep dermis and subcutaneous tissue. It is most commonly caused by S. pyogenes and S. aureus.5 Bacteria may gain access to the dermis via a break in the skin barrier in healthy adults, whereas the hematogenous route is more common in immunocompromised patients.
The affected skin is usually erythematous, swollen, painful, and warm to the touch. Severe cellulitis can be complicated by bullae, pustules, or necrotic tissue. Damage to lymphatic vessels can lead to recurrent episodes of cellulitis.6 In areas of the world endemic for lymphatic filariasis, it is important to rule out this disease in cases of recurrent bouts of lower-extremity cellulitis and lymphangitis.
1. SEGi College Sarawak
FACULTY OF NURSING & ALLIED HEALTH
Foundation in Science
Necrotizing Fasciitis
By Darrell Nadeng Dominic
2. • Necrotizing Fasciitis is commonly known
as “Flesh-eating disease” or “Flesh-eating
bacteria syndrome”, is a RARE infection of
the deeper layers of the skin and
subcutaneous tissues. It can destroy
muscles, skin and underlying tissue.
• “Necrotizing” refers to something that
causes body tissue to die.
4. Necrotizing Fasciitis is commonly caused by Group A
Streptococcus (GAS) bacteria, which is the same type
of bacteria that causes strep throat. However, several
types of bacteria, such as staphylococcus have also be
associated with this disease.
7. • The bacteria that causes Necrotizing Fasciitis
can enter the body following surgery or injury.
They can also enter the body through :
- Minor cuts
- Insect Bites
- Abrasions
• In some cases, it is unknown how the
infection began. Once the infection takes
place, it rapidly destroys muscles, skin and
fat tissue.
9. • Increasing pain in the general area of a minor
cut, abrasion, or other skin opening.
• Pain that is worse than would be expected from
the appearance of the cut or abrasion.
• Redness and warmth around the
wound, through symptoms can begin at other
areas of the body.
• Flu-like symptoms such as
diarrhea, nausea, fever, dizziness, weakness, an
d general malaise.
• Intense thirst due to dehydration
10. More advance symptoms occur around the
painful infection site within three or four days
of infection. They include :
• Swelling, possibly accompanied by a purplish
rash.
• Large, violet-colored marks that transform into
blisters filled with dark, foul-smelling liquid.
• Discoloration, peeling, and flakiness as tissue
death (gangrene) occurs.
11. Critical symptoms, which often
occur within four to five days of
infection, include :
• Severe drop in blood pressure
• Toxic shock
• Unconsciousness
14. • Diagnosis is often based on advance symptoms,
such as the presence of gas bubbles under the
skin. Laboratory analysis of fluid and tissue
samples is done to identify the particular
bacteria that are causing the infection.
Treatment however, begins before the bacteria
are identified.
• Household members and others who have had
close contact with someone with necrotizing
fasciitis should be evaluated if they develop
symptoms of an infection.
15. Free air in the soft tissues due to necrotizing
fasciitis
17. Micrograph of necrotizing fasciitis, showing necrosis
(center of image) of the dense connective
tissue, i.e. fascia, interposed between fat lobules (top-right
and bottom-left of image).
19. Immediate treatment is needed to prevent
death
• Powerful, broad-spectrum antibiotics given
immediately through a vein (IV)
• Surgery to drain the sore and remove
dead tissue
• Special medicines called donor
immunoglobulin's (antibodies) to help fight
the infection in some cases
20. Other treatments may include :
• Skin grafts after the infection goes away to help
your skin heal and look better
• Amputation if the disease spreads through an
arm or leg
• 100% oxygen at high pressure (hyperbaric
oxygen therapy) for certain types of bacterial
infections
21. Necrotic tissue from the left leg is being
surgically debrided in a patient with necrotizing
fasciitis
24. • Keep all wounds clean and watch closely
for any signs of infection. Early detection
and treatment of infection may be the best
measure to prevent the subsequent
development of necrotizing fasciitis.
Promptly seek medical care if any signs or
symptoms of infection appear.
25. • Maintaining good personal hygiene and
frequent hand washing can prevent
infection and help control the spread of
infection. Following guidelines of proper
sterile surgical technique and practicing
strict barrier (gloves, gowns, masks, etc.)
and isolation precautions in hospitals can
also allow health care personal prevent
the development and spread of infection.
27. A 23 year-old woman developed a left facial cellulitis which progressed
relentlessly with necrosis. Debridement was performed on several occasions
to halt the spread of the necrosis. The ophthalmic team was consulted 10 days
after her admission because of left ptosis. Examination revealed poor ocular
movement, an urgent CT scan revealed cavernous sinus thrombosis. She was
given anti-thrombotic treatment by the medical team. The facial defect was
later reconstructed with myocutaneous graft from the thigh by the plastic team.