Article information
La terminología utilizada para referirse a las infecciones necrosantes de partes blandas (INPB) es abundante debido a la ausencia de definiciones claras y a la utilización de diversas clasificaciones que han considerado aspectos etiológicos, microbiológicos, anatómicos y/o clínicos. Esto ha llevado a un cierto grado de confusión. A efectos de unificar la terminología sería más adecuado emplear exclusivamente los términos fascitis necrosante y mionecrosis, cuya diferenciación es básicamente anatómica, o incluso emplear únicamente la expresión INPB, sin especificar, por cuanto constituye un conjunto de condiciones clínicas con importantes semejanzas fisiopatológicas y principios terapéuticos similares.
Palabras clave:
Infecciones necrosantes de partes blandas
Fascitis necrosante
Mionecrosis
Clasificación
La terminology used to refer to necrotizing infections is extensive because of the absence of clear definitions and the use of classification systems based on a variety of criteria, including etiologic, microbiologic, anatomic, and clinical aspects. This situation has led to some confusion. In the attempt to unify terminology, it might be more appropriate to use only the terms necrotizing fasciitis and myonecrosis, in which differentiation is mainly anatomical. Another option would be to use only the expression necrotizing soft tissue infections, a non-specific term, since these constitute a group of clinical processes having similar pathophysiologic characteristics and therapeutic principles.
Key words:
Necrotizing infections
Necrotizing fasciitis
Myonecrosis
Classification
Full text is only aviable in PDF
Bibliografía
[1.]
V. Descamps, J. Aitken, M.G. Lee.
Hippocrates on necrotising fasciitis.
Lancet, 344 (1994), pp. 556
[2.]
I. Loudon.
Necrotising fasciitis, hospital gangrene, and phagedena.
Lancet, 344 (1994), pp. 1416-1419
[3.]
Committee upon anaerobic bacteria and infections.
His Majesty’s Stationery Office, (1919),
[4.]
J.D. McLennan.
The histotoxic clostridial infections of man.
Bacteriol Rev, 26 (1962), pp. 177-187
[5.]
F. Villalba, P. Manana, G. Limongi.
Celulitis necrotizante por Acinetobacter baumannii.
Enferm Infecc Microbiol Clin, 18 (2000), pp. 479-480
[6.]
P. Martínez, O. Sánchez-Vilar, M.J. Picón, M.A. Gonzalo, A. Badía, A. Ares.
Fascitis necrotizante como complicación de gastrostomía endoscópica percutánea.
Nutr Hosp, 14 (1999), pp. 135-137
[7.]
T. Seijas, C. Díaz, Garrigues T. Pérez.
Fascitis necrotizante en cabeza y cuello. A propósito de cuatro casos de fascitis necrotizante cervical.
Acta otorrinolaringol esp, 48 (1997), pp. 504-508
[8.]
M. Seco, O. Andrés, G. Ramos.
Diccionario del español actual.
[10.]
J.J. Canoso, M. Barza.
Soft tissue infections.
Rheum dis clin north am, 9 (1993), pp. 293-309
[11.]
D.L. Stevens.
Infecciones de la piel, músculo y partes.
pp. 973-978
[13.]
J.A. Fournier.
Gangrene foudoyante de la verge.
Medecin Practique, 4 (1883), pp. 589-597
[14.]
W. Pfanner.
Zur Kenntnis und Behandlung des nekrotisierenden Erysipels.
Deutsche Ztschr Chir, 144 (1918), pp. 108
[15.]
G.G. Bartschies, A. Jung.
Gangrenous and phlegmonous erysipelas.
Z arztl fortbild (jena), 60 (1966), pp. 1261-1264
[16.]
M.N. Swartz.
Cellulitis and subcutaneous tissue infections.
pp. 1037-1057
[17.]
R.A. DiGioia, J.G. Kane, R.H. Parker.
Crepitant cellulitis and myonecrosis caused by Klebsiella.
Jama, 237 (1977), pp. 2097-2098
[18.]
W.A. Altermeier, W.R. Culbertson.
Acute non-clostridial crepitant cellulitis.
Surg gynecol obstet, 87 (1948), pp. 206-212
[19.]
S. Kusne, D.E. Eibling, V.L. Yu, D. Fitz, J.T. Johnson, L.E. Kahl.
Gangrenous cellulitis associated with gram-negative bacilli in pancytopenic patients: Dilemma with respect to effective therapy.
Am j med, 85 (1988), pp. 490-494
[20.]
J.A. Freischlag, G. Ajalat, R.W. Busuttil.
Treatment of necrotizing soft tissue infections.
Am j surg, 149 (1985), pp. 751-755
[21.]
G. Marchesi, D. Rivoltella, G. Fontana, E. Gotti.
Necrotizing cellulitis caused by mixed bacterial flora (aerobic and anaerobic) treated with hyperbaric oxygenation.
Minerva med, 73 (1982), pp. 3001-3002
[22.]
H.H. Stone, J.D. Martin.
Synergistic necrotizing cellulitis.
Ann surg, 175 (1972), pp. 702-711
[23.]
E. Benizri, P. Fabiani, G. Migliori, D. Chevallier, A. Peyrottes, M. Raucoules.
Gangrene of the perineum.
Urology, 47 (1996), pp. 93-99
[24.]
F.L. Meleney.
Hemolytic streptococcal gangrene.
Arch Surg, 9 (1924), pp. 317-364
[25.]
D. Kingston, D.V. Seal.
Current hypotheses on synergistic microbial gangrene.
Br j surg, 77 (1990), pp. 260-264
[26.]
D.B. Roberts, L.L. Hester.
Progressive synergistic bacterial gangrene arising from abscesses of the vulva and Bartholin’s gland duct.
Am j obstet gynecol, 114 (1972), pp. 285-291
[27.]
M.A. Ledingham, M.A. Tehrani.
Diagnosis, clinical course and treatment of acute dermal gangrene.
Br j surg, 62 (1975), pp. 364-372
[28.]
D. Cantaloube, P. Combemale, G. Larroque, D. Vaisse.
Infectious cutaneous gangrene in infants.
Rev stomatol chir maxillofac, 89 (1988), pp. 162-168
[29.]
S.X. Wu, J. Tang.
Epidemiologic study of neonatal subcutaneous gangrene caused by multi-resistant Staphylococcus aureus.
Acta paediatr scand, 78 (1989), pp. 222-227
[31.]
P. Iorianni, G.C. Oliver.
Synergistic soft tissue infections of the perineum.
Dis Colon Rectum, 35 (1992), pp. 640-644
[32.]
O. Castillo, C. Martínez.
Flemón perineal necrotizante (gangrena de Fournier.
Actas urol esp, 13 (1989), pp. 381-383
[33.]
M.T. Kolawole, E.O. Akande.
Pyogaseous infection in pregnancy.
Bmj, 11 (1971), pp. 620-621
[34.]
D. Chevallier, J. Amiel, C. Michetti, Y. Birtwisle, H. Richelme, J. Toubol.
Gangrenous states of the perineum and genital region.
J urol, 93 (1987), pp. 145-150
[35.]
K. Cartwright, M. Logan, C. McNulty, S. Harrison, R. George, A. Efstratiou.
A cluster of cases of streptococcal necrotizing fasciitis in Gloucestershire.
Epidemiol infect, 115 (1995), pp. 387-397
[36.]
D.L. Stevens.
Flesh-eating bacterium: What’s next.
Clin infect dis, 179 (1999), pp. 366-374
[37.]
R. Nowak.
Flesh-eating bacteria: Not new, bat still worrisome.
Science, 264 (1994), pp. 1665
[38.]
T. Hsieh, L.M. Samson, M. Jabbour, M.H. Osmond.
Necrotizing fasciitis in children in eastern Ontario: A case control study.
Cmaj, 163 (2000), pp. 393-396
[39.]
D.M. Zerr, E.R. Alexander, J.S. Duchin, L.A. Koutsky, C.E. Rubens.
A case-control study of necrotizing fasciitis during primary varicella.
Pediatrics, 103 (1999), pp. 783-790
[40.]
D. Gozal, A. Ziser, A. Shupak, A. Ariel, Y. Melamed.
Necrotizing fasciitis.
Arch Surg, 121 (1986), pp. 233-235
[41.]
A. Arslan, C. Pierre-Jerome, A. Borthne.
Necrotizing fasciitis: Unreliable MRI findings in the preoperative diagnosis.
Eur j radiol, 36 (2000), pp. 139-143
[42.]
D.L. Stevens.
Streptococcal toxic shock syndrome associated with necrotizing fasciitis.
Annu rev med, 51 (2000), pp. 271-288
[43.]
I. Mohammedi, P. Ceruse, S. Duperret, J. Vedrinne, P. Bouletreau.
Cervical necrotizing fasciitis: 10 years’ experience at a single institution.
Intens care med, 25 (1999), pp. 829-834
[44.]
J.D. Urschel, H. Takita, J.G. Antkowiak.
Necrotizing soft tissue infections of the chest wall.
Ann thorac surg, 64 (1997), pp. 276-279
[45.]
J.A. Riseman, A.Z. William, A. Curtis, D.R. Graham, H.R. Honrad, D.S. Ross.
Hyperbaric oxygen therapy for necrotizing fasciitis reduces mortality and the need for debridements.
Surgery, 108 (1990), pp. 847-850
[46.]
D. Lindsey.
Soft tissue infections.
Emerg med clin north am, 4 (1992), pp. 737-751
[47.]
A.L. Bisno, D.L. Stevens.
Streptococcus pyogenes (including streptococcal toxic shock syndrome and necrotizing fasciitis).
pp. 2101-2127
[48.]
R.G. Ward, M.S. Walsh.
Necrotizing fasciitis: 10 years’ experience in a district general hospital.
Br j surg, 7 (1991), pp. 488-789
[49.]
D.B. Wall, S.R. Klein, S. Black, C. De Virgilio.
A simple model to help distinguish necrotizing fasciitis from nonnecrotizing soft tissue infection.
J am coll surg, 191 (2000), pp. 227-231
[50.]
D.B. Wall, C. De Virgilio, S. Black, S.R. Klein.
Objective criteria may assist in distinguishing necrotizing fasciitis from nonnecrotizing soft tissue infection.
Am j surg, 179 (2000), pp. 17-21
[51.]
A. Guiliano, F. Lewis, K. Hadley, F.W. Blaisdell.
Bacteriology of necrotizing fasciitis.
Am j surg, 134 (1977), pp. 52-57
[52.]
L.S. Weisenfeld, A. Luzzi, J. Picciotti.
Nonclostridial gas gangrene.
J foot surg, 29 (1990), pp. 141-146
[53.]
S.S. Markantone, J. Vinikoor, L. Vinikoor, G. Weiss.
Nonclostridial gas gangrene.
J foot surg, 28 (1989), pp. 213-216
[56.]
J. Desola, E. Escolá, E. Moreno, M.A. Muñoz, U. Sánchez, F. Murillo.
Tratamiento combinado de la gangrena gaseosa con oxigenoterapia hiperbárica, cirugía y antibióticos. Estudio colaborativo multicéntrico nacional.
Med clin (barc), 94 (1990), pp. 641-650
[57.]
E.M. Adams, S. Gudmundsson, D.E. Yocum, R.C. Haselby, W.A. Craig, W.R. Sundstrom.
Streptococcal myositis.
Arch intern med, 145 (1985), pp. 1020-1023
[58.]
W.M. Rambo, L.D. Hanback, C.H. McGown.
Management of nonclostridial crepitant myositis.
Am surg, 39 (1973), pp. 105-107
[59.]
R. Goodman, S. Fowlie, C. Rodgers, L. Hands.
Computed tomography in crepitant myonecrosis.
Br j clin pract, 47 (1993), pp. 266-267
[60.]
C.H. Chambers, G.F. Bond, J.H. Morris.
Synergistic necrotizing myositis complicating vascular injury.
J trauma, 14 (1974), pp. 980-984
[61.]
D.L. Stevens, D.M. Musher, D.A. Watson, H. Eddy, R.J. Hamill, F. Gyorkey.
Spontaneous nontraumatic gangrene due to Clostridium septicum.
Rev infect dis, 12 (1990), pp. 286-296
[62.]
D.L. Stevens, M.H. Tanner, J. Winship, R. Swarts, K.M. Ries, P.M. Schlievert.
Severe group a streptococcal infections associated with a toxic-like syndrome and scarlet fever toxin a.
N engl j med, 321 (1989), pp. 1-6
[63.]
M.R. Schmid, T. Kossman, S. Duewell.
Differentiation of necrotizing fasciitis and cellulitis using mr imaging.
Am j radiol, 170 (1998), pp. 615-620
[64.]
E.P. Dellinger.
Severe necrotizing soft-tissue infections. Multiple disease entities requiring a common approach.
Jama, 246 (1981), pp. 1717-1721
[65.]
R.E. Kaiser, F.B. Cerra.
Progressive necrotizing surgical infections: A unified approach.
J trauma, 21 (1981), pp. 349-355
[67.]
C.R. McHenry, J.J. Piotrowski, D. Petrinic, M.A. Malangoni.
Determinants of mortality for necrotizing soft-tissue infections.
Ann surg, 221 (1995), pp. 558-565
[68.]
D. Elliott, J.A. Kufera, R.A. Myers.
The microbiology of necrotizing soft tissue infections.
Am j surg, 179 (2000), pp. 361-366
Copyright © 2003. Elsevier España, S.L.. Todos los derechos reservados
