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Running Head: NECROTIZING FASCIITIS NECROTIZING FASCIITIS Name of the student Under the guidance of APA format Date of submission Word Count Necrotizing Fasciitis Necrotizing fasciitis is inflammatory infection of the deep fascia which is not only rapidly spreading and progressive, but also is associated with subcutaneous tissue necrosis (Edlich, 2010).
When the condition affects the perineal and the scrotal region, it is known as Fournier gangrene. The infection is difficult to recognise in the early stages of illness. It progresses very rapidly and is associated with high mortality and morbidity (Majeski and John, 2003). Hence it is very important to recognise and aggressively manage the condition. Pathophysiology The condition is characterised by necrosis of the fascia and the subcutaneous tissue. The most common cause of necrotizing fasciitis is group-A beta hemolytic streptococcus. Some researchers are of the opinion that the condition is polymicrobial. The bacteria can be anerobic, aerobic or even mixed. Some of the other commonly reported organisms are staphylococci, peptostreptococcus, bacteroides, pseudomonas klebsiella, e.coli and clostridium. Multibacterial symbiotic relationship and synergy are the factors which influence rapid growth of the bacteria (Rogers and Perkins, 2006). Underlying morbidities contribute to the development of the disease, some of which are venous insufficiency, diabetes mellitus and atherosclerotic vascular disease. The condition usually affects the extremities, especially the legs. Trauma can precede the condition (Edlich, 2010). ...
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