What is subacute necrotizing fasciitis? A proposed clinical diagnostic criteria
What is subacute necrotizing fasciitis? A proposed clinical diagnostic criteria
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DOI：
10.1016/j.jinf.2005.08.018
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发表时间：
2006-06-01
影响因子：
28.2
通讯作者：
Wang, Yi-Shi
中科院分区：
文献类型：
--
作者：
Wong, Chin-Ho;Wang, Yi-Shi
Objective.亚急性坏死性筋膜炎是一个定义不明确的临床实体。它的存在一直是许多争议的主题。虽然很少报告，但许多作者在文献中记录了亚急性形式的坏死性筋膜炎。本文重点介绍了一些最近报道的情况下，在文献中，清楚地表明，亚急性形式的坏死性筋膜炎确实存在，事实上可能被低估，因为钉的认识和一致的诊断标准。使用以下关键词进行Medline检索：坏死性筋膜炎，亚急性，变异性和无痛性。大多数报告的病例没有提供足够的信息来满足审查者，这些病例确实是亚急性形式的坏死性筋膜炎。我们确定了三例亚急性坏死性筋膜炎，显然是亚急性病例，并分析了他们的临床表现。根据这些病例并结合作者的临床经验，提出了亚急性坏死性筋膜炎的诊断标准。这一拟议的诊断标准有助于促进未来对这种情况的报告和记录。并对该方法的临床意义和应用进行了讨论。(C)2006年，英国传染病协会。由爱思唯尔有限公司出版。保留所有权利。
Objective. Subacute necrotizing fasciitis is a poorly defined clinical entity. Its very existence has been the subject of much controversy. While rarely reported, subacute forms of necrotizing fasciitis have been documented in the literature by many authors. This paper highlights some recently reported cases in the literature that clearly shows that subacute forms of necrotizing fasciitis indeed exist and may in fact be under-reported because of the tack of awareness and a consistent diagnostic criteria.Methods. A Medline search was performed with the following keyword; necrotizing fasciitis, subacute, variant and indolent.Results. Majority of reported cases did not give sufficient information to satisfy the reviewer that these cases were indeed subacute forms of necrotizing fasciitis. We identified three cases of subacute necrotizing fasciitis that clearly are subacute cases and analysed their clinical presentation. A diagnostic criterion for defining subacute necrotizing fasciitis was proposed based on these cases and the authors' clinical experiences.Conclusion. This proposed diagnostic criterion serves to facilitate future reporting and documentation of this condition. The clinical significance and implication of this are discussed. (C) 2006 The British Infection Society. Published by Elsevier Ltd. All rights reserved.