Necrotising fasciitis Immediate surgical opinion is essential

BMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6950.341c (Published 30 July 1994) Cite this as: BMJ 1994;309:341
  1. R G Ward
  1. Aintree Hospitals NHS Trust, Liverpool L9 1AE
  2. Southampton General Hospital, Southampton SO9 4XY
  3. Poole General Hospital, Poole BH15 2JB
  4. Royal Devon and Exeter Hospital, Exeter EX2 5DW.

    EDITOR, - Three aspects of necrotising fasciitis mentioned in Timothy S Burge and James D Watson's editorial require further clarification.1 Firstly, the key to the successful management of necrotising fasciitis is the immediate referral for surgical opinion of patients with atypical cellulitis.2 Only with early recognition of the possible diagnosis can the established guidelines of prompt resuscitation, diagnostic incision, and radical debridement be instigated, thereby improving the prospects of survival.

    Secondly, the bacteriology of necrotising fasciitis is unclear …

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