[Harmless or life threatening? Properly assessing soft tissue infections].
Wolfgang Sendt, U. Schöffel
Abstract
Wolfgang Sendt, U. Schöffel
Abstract
Soft tissue infections are highly diverse in presentation, and their severity is readily underestimated. Classifications in the literature are not uniform. Clinically, a recommended classification is based on the spread of the infection into deeper regions: superficial and deep soft tissue infections. Superficial infections, that is, those confined to the cutis and subcutis, include furuncles, erysipelas and phlegmons (acute suppurative inflammation). The second group--infection affecting fascia and muscle--include both classical gas gangrene and necrotizing fasciitis which, despite aggressive treatment, are associated with a high mortality rate. The present review shows the classification and differential diagnosis of these infections.
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Soft tissue infections are highly diverse in presentation, and their severity is readily underestimated. Classifications in the literature are not uniform. Clinically, a recommended classification is based on the spread of the infection into deeper regions: superficial and deep soft tissue infections. Superficial infections, that is, those confined to the cutis and subcutis, include furuncles, erysipelas and phlegmons (acute suppurative inflammation). The second group--infection affecting fascia and muscle--include both classical gas gangrene and necrotizing fasciitis which, despite aggressive treatment, are associated with a high mortality rate. The present review shows the classification and differential diagnosis of these infections.
Key concepts: Erysipelas, Fasciitis, Soft tissue, Medicine, Fascia, Deep fascia, Cellulitis, Fournier gangrene