The Internet Book of Critical Care Podcast

IBCC Episode 118 - Necrotising Fasciitis

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Oct 28, 2021
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INSIGHT

Necrotizing Fasciitis Types

  • Necrotizing fasciitis has three types: polymicrobial, monomicrobial (like strep), and clostridial.
  • The monomicrobial type can occur in healthy patients, often with toxic shock syndrome.
ADVICE

Pain as a Key Indicator

  • Suspect necrotizing fasciitis if pain is out of proportion to the examination findings.
  • Be highly suspicious if a patient describes their pain as the worst of their life, despite minimal visible signs.
ANECDOTE

Patient Threatening Doctor

  • Josh Farkas recalls a patient with extreme pain who threatened to hit him if he touched her again.
  • This highlights the disproportionate pain associated with necrotizing fasciitis.
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