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Necrotizing Fasciitis and Necrotizing Soft Tissue Infections

Surgical Infections

A 58-year-old diabetic man presents with a 36-hour history of rapidly progressive leg pain, swelling, and erythema following a minor laceration. He is febrile (39.2°C), tachycardic, and hypotensive. The affected limb shows dusky discoloration with crepitus on palpation. Serum lactate is 4.5 mmol/L. Regarding necrotizing soft tissue infections:

Mark each as TRUE or FALSE

A

Type I necrotizing fasciitis is polymicrobial (synergistic infection) involving mixed aerobic and an...

B

Type II necrotizing fasciitis is monomicrobial, most commonly caused by Group A Streptococcus (Strep...

C

Necrotizing fasciitis is a slow, indolent infection that progresses over weeks; crepitus indicates s...

D

Type III infections are caused by Clostridium species (gas gangrene) or marine Vibrio species (saltw...

E

Risk factors include diabetes mellitus, peripheral vascular disease, immunosuppression, obesity, int...

Answer the questions to see explanations

Click T (True) or F (False) for each option