title: Necrotizing fasciitis: early sonographic diagnosis.
abstract: Necrotizing fasciitis is a rare, but potentially fatal bacterial infection of the soft tissues. Establishing the diagnosis at the early stages of the disease remains the greatest challenge. We report a case of necrotizing fasciitis involving the upper extremity. Sonography revealed subcutaneous emphysema spreading along the deep fascia, swelling, and increased echogenicity of the overlying fatty tissue with interlacing fluid collections. The patient responded well to early surgical debridement and parenteral antibiotics.
authors.affiliation: Department of General, Gastroenterological and Oncological Surgery, Medical University of Warsaw, ul. Banacha 1A, 02-097 Warsaw, Poland.
authors.forename: Marek
authors.initials: M
authors.lastname: Wronski
authors.forename: Maciej
authors.initials: M
authors.lastname: Slodkowski
authors.forename: Wlodzimierz
authors.initials: W
authors.lastname: Cebulski
authors.forename: Dominika
authors.initials: D
authors.lastname: Karkocha
authors.forename: Ireneusz W
authors.initials: IW
authors.lastname: Krasnodebski
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D042241:Early Diagnosis; D019115:Fasciitis, Necrotizing / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D014463:Ultrasonography
chemical_list: D000900:Anti-Bacterial Agents