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Necrotizing Soft-tissue Infections in Obstetric and Gynecologic Patients

FARO, SEBASTIAN MD, PhD; FARO, JONATHAN P. MD, PhD

Clinical Obstetrics & Gynecology: December 2012 - Volume 55 - Issue 4 - p 875–887
doi: 10.1097/GRF.0b013e31827146cd
Severe Infections in Gynecology

For the clinician, necrotizing soft-tissue infections have remained a daunting opponent since the first writings on the subject over 2000 years ago. Early disease may be incorrectly diagnosed as cellulitis, and this delay in correctly diagnosing and expeditiously proceeding to radical surgical debridement may lead to a high degree of mortality. Although several inciting events and risk factors have been described that allow for the development and progression of this disease, the diagnosis is still made clinically. Only aggressive surgical management in combination with broad-spectrum antibiotics will offer a chance at improving patient outcomes.

Department Ob/Gyn, UTHSC-Houston, Lyndon Baines Johnson Hospital, Houston, Texas

The authors declare that they have nothing to disclose.

Correspondence: Sebastian Faro, MD, PhD, Department Ob/Gyn, UTHSC-Houston, Lyndon Baines Johnson Hospital, Houston, TX. E-mail: sebastian.faro@uth.tmc.edu

© 2012 Lippincott Williams & Wilkins, Inc.