Analysis of Necrotizing Fasciitis Patient by Causative Pathogens.
- Author:
Sun Hyung PARK
1
;
Bok Kyun NOH
;
Eui Sik KIM
;
Jae Ha HWANG
;
Kwang Seog KIM
;
Sam Yong LEE
Author Information
1. Department of Plastic and Reconstructive Surgery, Chonnam National University Medical School, Gwangju, Korea. sylee@ jnu.ac.kr
- Publication Type:Original Article
- Keywords:
Necrotizing fasciitis
- MeSH:
Fasciitis, Necrotizing*;
Humans;
Korea;
Length of Stay;
Mortality;
Prognosis;
Shock, Septic;
Vibrio vulnificus
- From:Journal of the Korean Society of Plastic and Reconstructive Surgeons
2007;34(3):319-324
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Necrotizing fasciitis is a rapid progressive, life-threatening disease. Many organisms have been identified for causative pathogens of necrotizing fasciitis. And necrotizing fasciitis caused by Vibrio vulnificus is a matter of grace concern in Southwest seashore of Korea recently. But concrete analysis between these pathogens was not executed yet. METHODS: Sixty necrotizing fasciitis patients were included in this study. We divided the patients into 2 groups: Group A was the case which Vibrio vulnificus was cultured for causative pathogen of necrotizing fasciitis, and Group B was the case of other organisms. And we analysed each group for treatment, progression and prognosis. RESULTS: There was no significant difference between two groups in total hospital stay but there was a great difference in ICU stay and progression to septic shock. Also, there was a great difference in mortality within 48 hours but there was no difference in mortality of 48 hours after hospital visit. CONCLUSION: This indicates that intial management of necrotizing fasciitis cased by Vibrio vulnificus is the key of treatment. So initial medical management with early surgical intervention is necessary for necrotizing fasciitis.
