A CLINICOPATHOLOGICAL STUDY OF NECROTISING FASCIITIS IN A TERTIARY CARE HOSPITAL
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 52
Abstract
BACKGROUND Necrotising fasciitis lesions are entities not frequently seen in daily surgical practice. These infections are marked by absence of clear local boundaries or palpable limits, which is responsible both for their severity and the frequent delay in recognizing their surgical nature. Necrotising fasciitis continues to challenge the practicing surgeon. MATERIALS AND METHODS 50 patients of necrotising fasciitis were treated during the study period from August 2016 up to one year. Age, sex, associated co-morbid conditions, site of involvement, predisposing factors, addictions, clinical parameters like pyrexia, duration of symptoms, presence of hypotension are studied and compared. RESULTS 50 patients of necrotising fasciitis are treated during the study period. The age ranged from 22 to 71 years, the mean age being 44.5 ± 8.36 years. There were 38 males and 12 females. Male: female ratio is 3.17:1. Among 38 males, 6 patients died. This constitutes about 15.7%. Among 12 number of females 4 died. This constitutes about 33.3% mortality. CONCLUSION Necrotising fasciitis is more common in middle aged males. Diabetes mellitus is the most common co-morbid condition associated with necrotising fasciitis. Type I infection is more common. The presence of multiple co-morbid conditions reduces the survival. Early diagnosis and aggressive surgical debridement reduces mortality.
Authors and Affiliations
Penugonda Adeppa, Sarada B. , Adimulam Kiran Kumar
Keywords
Related Articles
- EP ID EP608453
- DOI 10.18410/jebmh/2018/727
- Views 65
- Downloads 0
A COMPARATIVE STUDY OF RUBBER BAND LIGATION AND SCLEROTHERAPY IN PATIENTS WITH SECOND DEGREE HAEMORRHOIDS
BACKGROUND Haemorrhoids are an extremely common surgical condition of anorectal area. With the available non-surgical approaches for haemorrhoids like infrared coagulation, bipolar diathermy, direct current therapy, cryo...
STUDY OF GRAM-NEGATIVE INFECTIONS AND PATTERN OF RESISTANCE TO CARBAPENEMS IN PATIENTS OF CHRONIC KIDNEY DISEASE
BACKGROUND Gram-negative infections are the most common cause of morbidity and mortality among critically-ill immunosuppressed patients especially in CKD. The increasing emergence of multidrug resistance among these pati...
DIAGNOSTIC APPROACH TO MYELOPROLIFERATIVE NEOPLASMS (MPNS)
BACKGROUND MPNs are caused by clonal proliferation of a pluripotent haematopoietic progenitor. They neoplasms are characterised by an excessive production of mature blood cells of myeloid lineage, which are independent a...
A COMPARATIVE STUDY BETWEEN HARRINGTON INSTRUMENTATION AND PEDICLE SCREW ROD INSTRUMENTATION IN THORACOLUMBAR INJURIES WITH NEUROLOGICAL INVOLVEMENT
BACKGROUND Spinal cord housed and protected by vertebral column, hence injury to vertebral column endanger the function of spinal cord and half of the spinal column injury associated with spinal cord injury. In our study...
A COMPARATIVE STUDY ON PULMONARY FUNCTION TEST IN TYPE II DIABETICS AND NON-DIABETICS IN A TERTIARY CARE CENTRE - KANYAKUMARI
BACKGROUND Type 2 diabetes mellitus is associated with chronic tissue damage, reduction in function, failure of multiple organs and its complications are preferably caused by macrovascular and microvascular damages. The...