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NECROTIZING FASCIITISTHE FLESH-EATING BACTERIA
WHAT IS IT?- NECROTIZING FASCIITIS IS THE FLESH-EATING BACTERIA CAUSED BY INFECTION.
- THE BACTERIA SPREADS RAPIDLY IN A HOST AND DESTROYS THE SOFT TISSUE INCLUDING SKIN, MUSCLES, TENDONS, LIGAMENTS, NERVES, FASCIA, AND BLOOD VESSELS.
- THE MAIN BACTERIA CAUSING NF INCLUDE A STREPTOCOCCUS (GROUP A STREP), KEBSIELLA, CLOSTRIDIUM, E. COLI, STAPHYLOCOCCUS AUREAS, AND AEROMONAS HYDROPHILA WITH A STREPTOCOCCUS BEING THE MOST COMMON CAUSE.
- MOST COMMON CAUSES INCLUDE TRAUMA TO THE SKIN, SURGERY, AND INSECT BITES
ORIGIN?- NF WAS FIRST REPORTED BY HIPPOCRATES IN THE 5TH CENTURY B.C
- IN 1871, JOSEPH JONES STUDIED MORE THAN 2600 CASES OF THE DISEASE DURING THE CIVIL WAR AND PROVIDED THE FIRST REAL DESCRIPTIONS OF THE DISEASE
- IN 1883, JEAN-ALFRED FOURNEIR DESCRIBED A CONDITION KNOWN AS FOURNEIR’S GANGRENE; NF THAT ATTACKS THE GENITAL AREA
- DR. B. WILSON WAS THE FIRST TO USE THE TERM NECROTIZING FASCIITIS IN 1952 WHICH IS STILL THE MOST ACCURATE AND CONCISE DESCRIPTION OF THE DISEASE.
SX AND AFFECTED AREAS
- SIGNS AND SX INCLUDE: SMALL, RED, PAINFUL BUMPS: BLACK SPOTS ON THE SKIN, FEVERS, ACHES, CHILLS, AND PAIN THAT IS DISPROPORTIONATE TO EXAM FINDINGS.
- THE TISSUE BECOMES BLACK AND NECROTIC AND MAY BREAK OPEN AND WEEP FLUID (WITHIN AN HOUR OF ONSET OF INFECTION) AND SOON AFFECTS DEEPER TISSUE
- THE MOST COMMON AREAS AFFECTED ARE THE ABDOMINAL WALL, PERINEUM, AND THE EXTREMITIES.
TREATMENT
- HOSPITALIZATION AND IV THERAPY ALONG WITH BLOODWORK AND TISSUE BX
- INSERTION OF A BREATHING TUBE, IV ABX, AND DRUGS TO SUPPORT THE CARDIOVASCULAR SYSTEM
- HYPERBARIC CHAMBER- CAN INHIBIT/STOP ANAEROBIC BACTERIAL GROWTH AND PROMOTE TISSUE RECOVERY
- DEBRIDEMENT, SKIN GRAFTS, AND AMPUTATION