What is the historical background of necrotizing fasciitis?

Updated: Oct 17, 2018
  • Author: Steven A Schulz, MD; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Necrotizing fasciitis was first described by a Confederate Army surgeon, Joseph Jones, during the US Civil War. [14] In 1883, Fournier documented necrotizing fasciitis in the perineal and genital region. [15] Meleney later reported 20 patients he encountered in China in whom necrotizing fasciitis was caused by hemolytic streptococcus. [16] Wilson used the term necrotizing fasciitis without assigning a specific pathologic bacterium that caused the disease. [17]

Smith et al first classified soft tissue infections as either local or spreading. [18] Lewis later further classified soft tissue infections into either necrotizing or non-necrotizing. [19] He further subdivided these infections into either focal or diffuse.


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