Abstract:
PURPOSE:No reports have been published on synchronous multifocal necrotizing fasciitis (SMNF), a multifocal presence of necrotizing fasciitis in different extremities. We evaluated the clinical characteristics and outcomes of SMNF. METHODS:Eighteen patients (14 men, 4 women; mean age: 59 years) diagnosed with SMNF of the extremities between January 2004 to December 2012 were enrolled and evaluated. RESULTS:Vibrio species were the most commonly (78%; n = 14) isolated; others were two cases (11%) of Aeromonas spp., one case (6%) of group A β-hemolytic streptococcus, and one case of coagulase-negative staphylococcus. SMNF was in the bilateral lower limbs (72%; n = 13), bilateral upper limbs (17%; n = 3), and one patient with one upper and one lower limb (11%). Non-surviving patients had more bilateral lower limb involvement and thrombocytopenia. CONCLUSIONS:Most patients with SMNF were male and had bilateral lower limb and marine Gram-negative bacteria involvement. The mortality of SMNF remained extremely high in patients with involvement of bilateral lower limb and initial thrombocytopenia.
journal_name
Infectionjournal_title
Infectionauthors
Lee CY,Li YY,Huang TW,Huang TY,Hsu WH,Tsai YH,Huang JC,Huang KCdoi
10.1007/s15010-016-0932-9subject
Has Abstractpub_date
2016-12-01 00:00:00pages
757-763issue
6eissn
0300-8126issn
1439-0973pii
10.1007/s15010-016-0932-9journal_volume
44pub_type
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