title: Infective cutaneous gangrene--urgency in diagnosis and treatment.
abstract: Many descriptions of infective cutaneous gangrene have been published under a variety of names. The classification adopted by Ledingham and Tehrani is illustrated by 4 cases seen in the Stoke Mandeville Hospital. Although the incidence is high in Eastern countries, infective cutaneous gangrene is uncommon in the Western hemisphere owing to a difference in geographic pathology. Early and delayed management is described, stressing that early diagnosis and aggressive treatment is required, ideally by a team consisting of a microbiologist and plastic and general surgeons. There is a substantial risk associated with the failure to diagnose and treat this condition. Mortality rates and prognosis are reviewed.
authors.affiliation: Department of Plastic Surgery, Stoke Mandeville Hospital, Aylesbury, England.
authors.forename: F B
authors.initials: FB
authors.lastname: Bailie
authors.forename: I P
authors.initials: IP
authors.lastname: Linehan
authors.forename: G J
authors.initials: GJ
authors.lastname: Hadfield
authors.forename: A P
authors.initials: AP
authors.lastname: Gillett
authors.forename: B N
authors.initials: BN
authors.lastname: Bailey
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D005208:Fasciitis / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D005734:Gangrene; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D012867:Skin / Q000473:pathology; D012874:Skin Diseases, Infectious / Q000175:diagnosis* / Q000382:microbiology / Q000601:surgery; D016038:Skin Transplantation