Infective cutaneous gangrene--urgency in diagnosis and treatment

Many descriptions of infective cutaneous gangrene have been published under a variety of names. The classification adopted by Ledingham and Tehrani is illustrated by 4 cases seen in the Stoke Mandeville Hospital. Although the incidence is high in Eastern countries, infective cutaneous gangrene is un...

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Bibliographic Details
Published inAnnals of plastic surgery Vol. 19; no. 3; p. 238
Main Authors Bailie, F B, Linehan, I P, Hadfield, G J, Gillett, A P, Bailey, B N
Format Journal Article
LanguageEnglish
Published United States 01.09.1987
Subjects
Adolescent
Adult
Aged
Diagnosis, Differential
Fasciitis - diagnosis
Fasciitis - surgery
Female
Gangrene
Humans
Male
Middle Aged
Necrosis
Skin - pathology
Skin Diseases, Infectious - diagnosis
Skin Diseases, Infectious - microbiology
Skin Diseases, Infectious - surgery
Skin Transplantation
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Summary:Many descriptions of infective cutaneous gangrene have been published under a variety of names. The classification adopted by Ledingham and Tehrani is illustrated by 4 cases seen in the Stoke Mandeville Hospital. Although the incidence is high in Eastern countries, infective cutaneous gangrene is uncommon in the Western hemisphere owing to a difference in geographic pathology. Early and delayed management is described, stressing that early diagnosis and aggressive treatment is required, ideally by a team consisting of a microbiologist and plastic and general surgeons. There is a substantial risk associated with the failure to diagnose and treat this condition. Mortality rates and prognosis are reviewed.
ISSN:0148-7043
DOI:10.1097/00000637-198709000-00010