title: [Necrotizing fasciitis of the upper limb. Apropos of 4 cases].
abstract: This article is based on the retrospective study of 4 cases of necrotic fasciitis of the upper extremity, in adult patients with a mean age of 57 years (range: 36 to 78 years) and with a male predominance (3 M/1 F). Presenting signs were variable: pain, febrile and inflammatory oedema, ecchymoses with inflammatory masses containing clear or haemorrhagic fluid. Treatment with antibiotics and anti-inflammatory drugs did not prevent progression to painless, necrotic ulcers. Rapid medical and surgical treatment constitutes an element essential of the prognosis and must include wide large debridement, antibiotics and intensive care.
authors.affiliation: Service de Traumatologie-Orthopédie, CH Ibn Sina, Rabat, Maroc.
authors.forename: R
authors.initials: R
authors.lastname: Rifai
authors.forename: A
authors.initials: A
authors.lastname: el Yazidi
authors.forename: L
authors.initials: L
authors.lastname: Ameziane
authors.forename: M S
authors.initials: MS
authors.lastname: Berrada
authors.forename: A
authors.initials: A
authors.lastname: el Bardouni
authors.forename: M
authors.initials: M
authors.lastname: el Yaacoubi
authors.forename: M
authors.initials: M
authors.lastname: el Manouar
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001132:Arm / Q000601:surgery*; D003422:Critical Care; D003646:Debridement; D018450:Disease Progression; D004438:Ecchymosis / Q000503:physiopathology; D004487:Edema / Q000503:physiopathology; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005334:Fever / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000503:physiopathology; D011379:Prognosis; D012189:Retrospective Studies; D014456:Ulcer / Q000503:physiopathology
chemical_list: D000900:Anti-Bacterial Agents; D000893:Anti-Inflammatory Agents
vernacular_title: La fasciite nécrosante du membre supérieur. A propos de quatre cas.