Necrotizing Fasciitis

Necrotizing fasciitis is a feared complication. The usual cause is direct contamination of the wound with group A streptococcus or S. aureus; however, mixed aerobic and anaerobic infections have been reported. Risk factors include diabetes mellitus, alcoholism, immunosuppression, and peripheral vascular disease, but necrotizing fasciitis also occurs in young, otherwise healthy individuals. Early clinical differentiation from cellulitis can be difficult. CT may show asymmetric fascial thickening, gas tracking along fascial planes, or focal fluid collections; however, the actual sensitivity and specificity of CT in the diagnosis of necrotizing fasciitis has not been defined.4 Magnetic resonance imaging has been shown to be highly sensitive but not totally specific for necrotizing fasciitis and can be a useful adjunct. 5 The presence of marked systemic toxicity and pain out of proportion to local findings indicates fasciitis. In more advanced cases, there may be deep pain with patchy areas of surface hypesthesia, crepitance, or bullae. Treatment should include antibiotics and immediate surgical debridement. Antibiotic choice is controversial but should probably include a penicillin or cephalosporin, an aminoglycoside, and clindamycin. 6

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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