Necrotizing fasciitis and myonecrosis

This is a very serious infection of the soft tissues, accompanied by clinical signs of sepsis and constitutes an emergency condition. The infection begins from the subcutaneous tissues and spreads deeper. It is distinguished as either monomicrobial (streptococci are the responsible microorganisms) or polymicrobial (caused by enterobacteria and anaerobic bacteria - mainly clostridia). The most common sites of infection include the upper and lower extremities and abdominal wall. Mortality reaches 40 percent. Immediate surgical debridement and administration of the proper antibiotics are required, because the patient can very rapidly manifest signs of multiple organ failure.

Fournier's gangrene is a form of necrotizing fasciitis that affects the male genital organs.

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