necrotizing fasciitis
Pronunciation: NEK-roh-ty-zing fash-ee-EYE-tis
A rare but serious bacterial infection causing rapid destruction of skin and soft tissue, requiring emergency surgical intervention.
Full Definition
Necrotizing fasciitis is a rapidly spreading, life-threatening bacterial infection that destroys skin, fat, and the tissue covering muscles (fascia). In pediatric patients, it can occur following minor trauma, surgery, or in immunocompromised children. The infection spreads along fascial planes and can progress rapidly, causing systemic toxicity and shock. Early signs may include severe pain disproportionate to visible findings, fever, and rapidly spreading erythema. Diagnosis requires high clinical suspicion and may be confirmed through imaging or surgical exploration. Treatment involves emergency surgical debridement of necrotic tissue combined with broad-spectrum antibiotics. Delay in treatment can result in limb loss or death.
Usage
Usage note: Note correct spelling with 'necrotizing' (American) vs 'necrotising' (British). Avoid sensationalized term 'flesh-eating disease' in medical documentation.
In Context
- "The pediatric surgeon performed emergency debridement for suspected necrotizing fasciitis of the lower extremity." — Operative report