Risk factors in necrotizing fasciitis : A case involving Cryptococcus neoformans
Necrotizing fasciitis is a destructive soft tissue infection that is most typically caused by group A streptococci or a combination of facultative and anaerobic bacteria. Patients at risk for the development of necrotizing fasciitis often have compromised immune function or poor tissue perfusion. Th...
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| Veröffentlicht in: | Annals of plastic surgery 1998, Vol.40 (1), p.80-83 |
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| container_title | Annals of plastic surgery |
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| creator | MARCUS, J. R HUSSONG, J. W GONZALEZ, C DUMANIAN, G. A |
| description | Necrotizing fasciitis is a destructive soft tissue infection that is most typically caused by group A streptococci or a combination of facultative and anaerobic bacteria. Patients at risk for the development of necrotizing fasciitis often have compromised immune function or poor tissue perfusion. This report describes a case of necrotizing fasciitis caused by Cryptococcus neoformans, a pathogen not previously associated with this primary destructive soft tissue infection. The process occurred in a patient at risk for the development of opportunistic infection. We briefly review the risk factors for the development of necrotizing fasciitis and the typical bacteriologic findings. Cryptococcal infections and their treatment are described. Despite the uncommon pathogen, the treatment of this patient followed established principles-prompt surgical intervention and systemic antimicrobial therapy tailored to the offending organisms. |
| doi_str_mv | 10.1097/00000637-199801000-00018 |
| format | Article |
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We briefly review the risk factors for the development of necrotizing fasciitis and the typical bacteriologic findings. Cryptococcal infections and their treatment are described. Despite the uncommon pathogen, the treatment of this patient followed established principles-prompt surgical intervention and systemic antimicrobial therapy tailored to the offending organisms.</description><subject>Adult</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the skin</subject><subject>Biological and medical sciences</subject><subject>Combined Modality Therapy</subject><subject>Cryptococcosis - complications</subject><subject>Cryptococcosis - immunology</subject><subject>Cryptococcosis - therapy</subject><subject>Fasciitis, Necrotizing - epidemiology</subject><subject>Fasciitis, Necrotizing - immunology</subject><subject>Fasciitis, Necrotizing - microbiology</subject><subject>Fasciitis, Necrotizing - therapy</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Immunocompromised Host</subject><subject>Immunosuppressive Agents - therapeutic use</subject><subject>Infectious diseases</subject><subject>Kidney Failure, Chronic - complications</subject><subject>Kidney Failure, Chronic - immunology</subject><subject>Kidney Transplantation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Opportunistic Infections - complications</subject><subject>Opportunistic Infections - immunology</subject><subject>Opportunistic Infections - microbiology</subject><subject>Opportunistic Infections - therapy</subject><subject>Risk Factors</subject><issn>0148-7043</issn><issn>1536-3708</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kEtLAzEUhYMotVZ_gjALcTea1-ThToovKCii65DJJBKdTmoyU6i_3tSODYSQe87JvfkAKBC8QlDya7hdjPASSSkgypcybyQOwBRVhJWEQ3EIphBRUXJIyTE4SekzO7CgbAImkjKa61Pw8urTV-G06UNMhe-KzpoYev_ju49cTsb73qfiprgtjE42O9ahXW_Fedys-mCCMUPKqeBCXOounYIjp9tkz8ZzBt7v797mj-Xi-eFpfrsoDSGyL1nlHGJVBRnGxjnuNMFaagyphphj5AgVDTW64XUjay4RY4YT21SyQbVwDZmBy927qxi-B5t6tfTJ2LbVeZYhKS4Zl7gi2Sh2xvyvlKJ1ahX9UseNQlBtYap_mGoPU_3BzNHzscdQL22zD470sn4x6hmUbl3UnfFpb8OZdsUh-QWlS3yH</recordid><startdate>1998</startdate><enddate>1998</enddate><creator>MARCUS, J. R</creator><creator>HUSSONG, J. W</creator><creator>GONZALEZ, C</creator><creator>DUMANIAN, G. A</creator><general>Lippincott Williams & Wilkins</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>1998</creationdate><title>Risk factors in necrotizing fasciitis : A case involving Cryptococcus neoformans</title><author>MARCUS, J. R ; HUSSONG, J. W ; GONZALEZ, C ; DUMANIAN, G. A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c339t-65ff16550622cff7fa32a9a204a02721f348d4cad7bd9b79166c73ed59d1b8fd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the skin</topic><topic>Biological and medical sciences</topic><topic>Combined Modality Therapy</topic><topic>Cryptococcosis - complications</topic><topic>Cryptococcosis - immunology</topic><topic>Cryptococcosis - therapy</topic><topic>Fasciitis, Necrotizing - epidemiology</topic><topic>Fasciitis, Necrotizing - immunology</topic><topic>Fasciitis, Necrotizing - microbiology</topic><topic>Fasciitis, Necrotizing - therapy</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Immunocompromised Host</topic><topic>Immunosuppressive Agents - therapeutic use</topic><topic>Infectious diseases</topic><topic>Kidney Failure, Chronic - complications</topic><topic>Kidney Failure, Chronic - immunology</topic><topic>Kidney Transplantation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Opportunistic Infections - complications</topic><topic>Opportunistic Infections - immunology</topic><topic>Opportunistic Infections - microbiology</topic><topic>Opportunistic Infections - therapy</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MARCUS, J. 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A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Risk factors in necrotizing fasciitis : A case involving Cryptococcus neoformans</atitle><jtitle>Annals of plastic surgery</jtitle><addtitle>Ann Plast Surg</addtitle><date>1998</date><risdate>1998</risdate><volume>40</volume><issue>1</issue><spage>80</spage><epage>83</epage><pages>80-83</pages><issn>0148-7043</issn><eissn>1536-3708</eissn><coden>APCSD4</coden><abstract>Necrotizing fasciitis is a destructive soft tissue infection that is most typically caused by group A streptococci or a combination of facultative and anaerobic bacteria. Patients at risk for the development of necrotizing fasciitis often have compromised immune function or poor tissue perfusion. This report describes a case of necrotizing fasciitis caused by Cryptococcus neoformans, a pathogen not previously associated with this primary destructive soft tissue infection. The process occurred in a patient at risk for the development of opportunistic infection. We briefly review the risk factors for the development of necrotizing fasciitis and the typical bacteriologic findings. Cryptococcal infections and their treatment are described. Despite the uncommon pathogen, the treatment of this patient followed established principles-prompt surgical intervention and systemic antimicrobial therapy tailored to the offending organisms.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>9464704</pmid><doi>10.1097/00000637-199801000-00018</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0148-7043 |
| ispartof | Annals of plastic surgery, 1998, Vol.40 (1), p.80-83 |
| issn | 0148-7043 1536-3708 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Bacterial diseases Bacterial diseases of the skin Biological and medical sciences Combined Modality Therapy Cryptococcosis - complications Cryptococcosis - immunology Cryptococcosis - therapy Fasciitis, Necrotizing - epidemiology Fasciitis, Necrotizing - immunology Fasciitis, Necrotizing - microbiology Fasciitis, Necrotizing - therapy Human bacterial diseases Humans Immunocompromised Host Immunosuppressive Agents - therapeutic use Infectious diseases Kidney Failure, Chronic - complications Kidney Failure, Chronic - immunology Kidney Transplantation Male Medical sciences Opportunistic Infections - complications Opportunistic Infections - immunology Opportunistic Infections - microbiology Opportunistic Infections - therapy Risk Factors |
| title | Risk factors in necrotizing fasciitis : A case involving Cryptococcus neoformans |
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