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Title: Necrotising fasciitis: a case series set in rural Australia.
Author: Kay, Tegan
Wallace, Lauren
Bennett, Lauren
Gallagher, Peter
Issue Date: 2023
Publication Title: Journal of Surgical Case Reports
Volume: 2023
Issue: 2
Start Page: 1
End Page: 5
Abstract: Necrotising fasciitis (NF) is a rapidly progressive infection of soft tissue and fascia. Early diagnosis and prompt extensive surgical debridement decrease mortality. This remains a challenge for rural surgeons who have limited experience with the disease, in a setting where patient transfers to tertiary centres are lengthy and often delayed. To assist clinical decision making in this setting, a case series of five NF presentations in a rural Australian hospital were retrospectively analysed for presentation, investigation, treatment and clinical outcomes. Three underwent abdominal wall debridement and two underwent below knee amputation. Results demonstrate early recognition of NF and the extent of surgical intervention prior to acute transfer are key to successful outcomes. Expedient diagnosis and early extensive debridement at the initial contact reduce mortality and should be the goal of management in this setting.
Internal ID Number: 02128
Health Subject: CASE STUDY
Type: Journal Article
Appears in Collections:Research Output

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