[Necrotising fasciitis of the hand--a rare, highly dramatic clinical entity]

Handchir Mikrochir Plast Chir. 2009 Oct;41(5):288-91. doi: 10.1055/s-0029-1238308. Epub 2009 Sep 29.
[Article in German]

Abstract

The necrotising fasciitis (NF) is a rare syndrome in hand surgery which is characterized by a severe course of the illness. Different kinds of bacterial species are responsible for the pathogenetic origin of the NF. As NF can be life-threatening for the patient, immediate surgical and systemic treatment must begin as soon as there is the slightest clinical suspicion. We report about two patients with NF of the hand, whereby the patients' lives were saved by radical, serial debridements, intensive medical therapy and selective antibiotic treatment.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Amputation, Surgical / methods
  • Anti-Bacterial Agents / therapeutic use
  • Cellulitis / diagnosis
  • Cellulitis / surgery*
  • Clindamycin / therapeutic use
  • Combined Modality Therapy
  • Debridement / methods
  • Drainage
  • Fasciitis, Necrotizing / diagnosis
  • Fasciitis, Necrotizing / surgery*
  • Fasciotomy
  • Fingers / surgery
  • Hand / surgery*
  • Hand Strength / physiology
  • Humans
  • Male
  • Microbial Sensitivity Tests
  • Negative-Pressure Wound Therapy
  • Penicillins / therapeutic use
  • Postoperative Complications / etiology
  • Reoperation
  • Streptococcal Infections / diagnosis
  • Streptococcal Infections / surgery*
  • Streptococcus pyogenes*
  • Surgical Flaps

Substances

  • Anti-Bacterial Agents
  • Penicillins
  • Clindamycin