Abstract:
:Necrotizing soft tissue infections of the upper extremity have varying microbiologies and etiologies. Risk factors for development include diabetes mellitus, intravenous drug use, peripheral arterial disease, smoking, alcohol abuse, and immunocompromised state. Although clinical examination is the mainstay of diagnosis, laboratory tests and imaging can aid in diagnosis. Surgical débridements usually are needed for treatment, with resultant defects that often require reconstruction. Rates of amputation are reported as 22% to 37.5% and mortality from necrotizing soft tissue infections of the upper extremity from 22% to 34%. Prompt surgical and antimicrobial treatment is necessary to decrease risk of loss of limb or life.
journal_name
Hand Clinjournal_title
Hand clinicsauthors
Melillo A,Addagatla K,Jarrett NJdoi
10.1016/j.hcl.2020.03.007subject
Has Abstractpub_date
2020-08-01 00:00:00pages
339-344issue
3eissn
0749-0712issn
1558-1969pii
S0749-0712(20)30034-2journal_volume
36pub_type
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