Management of Necrotizing Fasciitis and Related Infection

  • I. McA. Ledingham
Conference paper
Part of the Anaesthesiologie und Intensivmedizin / Anaesthesiology and Intensive Care Medicine book series (A+I, volume 178)


Nectrotizing fasciitis is a relentlessly destructive bacterial infection characterized by extensive necrosis of the subcutaneous tissues of the abdominal wall and, less frequently, the extremities. The condition is fortunately uncommon but is potentially fatal and demands early recognition in order that treatment may be effective. Wilson [1] was the first to use the descriptive term “necrotizing fasciitis” because of the characteristic necrotic fascia and subsequently observed non-specificity of the pathogenic organism involved. Others in later reports [2] confirmed the validity of this observation.


Necrotizing Fasciitis Pathogenic Organism Extensive Necrosis Related Infection Transverse Colostomy 
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  1. 1.
    Wilson B (1952) Necrotizing fasciitis. American Surgeon 18: 416–431PubMedGoogle Scholar
  2. 2.
    Ledingham I McA, Tehrani MA (1975) Diagnosis, clinical course and treatment of acute dermal gangrene. Brit J Surg 62: 364–372PubMedCrossRefGoogle Scholar
  3. 3.
    Stamenkovie I, Lew PD (1984) Early recognition of potentially fatal necrotizing fasciitis; the use of frozen-section biopsy. N Engl J Med 310: 1689–1693CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1985

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  • I. McA. Ledingham

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