title: [Post-cesarean necrotizing fasciitis. Bacterial synergism, or mixed infection of the soft tissues?].
abstract: It has been demonstrated recently that most of the disemminated infections of the dermis, necrotizing fascitis included are due to a mix bacteria infection working sinergistically, demonstrated by clinical studies as well as in experimental animals. Treatment based on wide spectrum antibiotics and extensive debridement of the necrotic tissue performed by a team of several specialists have diminished mortality to 10%. We report a case of necrotizing fasciitis following a cesarean section in the absence of risk factors. We discuss risk factors, classification, etiology, diagnosis and therapy in light of the current knowledge.
authors.affiliation: Ginecoobstetra-Perinatólogo, Hospital General de Ciudad Victoria, Tamaulipas.
authors.forename: I G
authors.initials: IG
authors.lastname: Martinez Velasco
authors.forename: V
authors.initials: V
authors.lastname: Plascencia Valadez
authors.forename: J
authors.initials: J
authors.lastname: Salinas Treviño
authors.forename: J
authors.initials: J
authors.lastname: Sanchez Gutierrez
authors.forename: A
authors.initials: A
authors.lastname: Tirado Saldivar
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001424:Bacterial Infections / Q000209:etiology / Q000382:microbiology / Q000628:therapy; D002585:Cesarean Section / Q000009:adverse effects*; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000382:microbiology; D005260:Female; D006801:Humans; D011183:Postoperative Complications; D011247:Pregnancy; D011552:Pseudomonas Infections / Q000188:drug therapy / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000302:isolation & purification; D013530:Surgical Wound Infection / Q000382:microbiology / Q000628:therapy
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Fascitis necrotizante postcesárea. Sinergismo bacteriano o infección mixta de tejidos blandos?