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C-0688 - The role of Ultrasound managing Necrotizing Fasciitis, helps to improve patients outcome.

S. Martin Martin1, M. J. Ereño Ealo2, J. Martel3, E. Llopis4; 1 Palma de Mallorca/ES 2 Galdacano/ES 3 MADRID/ES 4 Alzira-Valencia/ES Type: Educational Exhibit
Area of Interests: Soft tissues / Skin, Musculoskeletal soft tissue, Emergency
Imaging Technique: Ultrasound
Procedures: Diagnostic procedure, Decision analysis, Abscess delineation
Special Focuses: Acute, Infection, Speech disorders
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Learning objectives: The purpose of our educational exhibit is to: Describe ultrasound (US) features of necrotizing soft tissue infection (NSTI). Describe the main differential diagnosis of NSTI. 96 Normal 0 21 false false false ES-TRAD X-NONE X-NONE

Background: In a strict sense, NECROTIZING FASCIITIS is a rare, rapidly spreading deep-seated infection located in the fascia. Necrotizing soft tissue infections have been recognized and reported for centuries, the earliest dating back to Hipocrates. The original description of “hospital gangrene” was made by J[...]

Findings and procedure details: Although some authors have affirmed that the image test are not indicated, since they could delay the urgent treatment of these patients, imaging test are an invaluable diagnostic adjunct because: 1. They may confirm the diagnosis in cases where signs are unclear. 2. The image test delineates the [...]

Conclusion: NSTI is highly lethal infections. They encompass a wide variety of soft tissue infections associated with necrosis that share the same diagnostic and treatment principles. Accuracy increases with familiarity of clinical findings, laboratory, macro and microscopic findings and imaging test. US is a v[...]

Personal information: S Martin Martin. Department of Radiology. Hospital Son Llatzer. Palma de Mallorca (Spain). MJ Ereño Ealo. Department of Radiology. Hospital Galdakao. Vizcaya. Spain.    J Martel Villagran. Department of Radiology. Hospital Fundación Alcorcón. Madrid. Spain.   E. Llopis San Juan. Dep[...]

References: 96 Normal 0 21 false false false ES-TRAD X-NONE X-NONE Goh, T., Goh, L. G., Ang, C. H., & Wong, C. H. (2013). Early diagnosis of necrotizing fasciitis. British Journal of Surgery, 101(1), e119–e125. Turecki, M. B., Taljanovic, M. S., Stubbs, A. Y., Graham, A. R., Holden, D. A., Hunter, T. B., &[...]

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