

IBCC Episode 118 - Necrotising Fasciitis
34 snips Oct 28, 2021
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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.
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.
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.