What are the most important physical signs of necrotizing fasciitis?

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

Usually, the most important signs are tissue necrosis, putrid discharge, bullae, severe pain, gas production, rapid burrowing through fascial planes, and lack of classical tissue inflammatory signs.

Usually, some degree of intravascular volume loss is detectable on clinical examination. Other general signs, such as fever and severe systemic reactions, may be present.

Local crepitation can occur in more than one half of patients. This is an infrequent finding, specific but not sensitive, particularly in cases of nonclostridial necrotizing fasciitis.


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