Necrotizing fasciitis arising from episiotomy.
Necrotizing fasciitis is a fatal, rapidly progressive, often initially unrecognized condition. Mortality rates range from 30% to 76%. Prognosis depends on the delay of diagnosis, antimicrobial treatment and surgical excision of all necrotic tissue. A case of postpartum perineal necrotizing fasciitis arising from episiotomy is presented. Prompt recognition and aggressive therapy resulted in a favorable outcome despite significant morbidity.
Department of Gynecology and Obstetrics, University of Vienna Medical School, Austria.
G
G
Häusler
E
E
Hanzal
C
C
Dadak
W
W
Gruber
D000328:Adult; D000900:Anti-Bacterial Agents; D003131:Combined Modality Therapy; D003422:Critical Care; D003646:Debridement; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004841:Episiotomy / Q000009:adverse effects*; D005208:Fasciitis / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D009336:Necrosis; D011247:Pregnancy; D011645:Puerperal Infection / Q000175:diagnosis* / Q000628:therapy; D013530:Surgical Wound Infection / Q000175:diagnosis* / Q000628:therapy
D000900:Anti-Bacterial Agents