Tintinalli's Emergency Medicine Manual 7/E by David Cline & O. John Ma & Rita Cydulka & Garth Meckler & Stephen Thomas & Dan Handel
Author:David Cline & O. John Ma & Rita Cydulka & Garth Meckler & Stephen Thomas & Dan Handel
Language: eng
Format: mobi
Tags: Medical, Emergency Medicine
ISBN: 9780071781848
Publisher: McGraw Hill Professional
Published: 2012-05-17T04:00:00+00:00
Clinical Features
Abrupt onset of soft tissue pain localized to one area that is out of proportion to physical findings combined with fever is the most common presentation of STSS followed closely by shock and multisystem organ involvement. The area of involvement is most commonly the extremities but can be anywhere on the body. The global erythematous rash is much less common in STSS. Vesicles and bullae at the site of soft tissue infection that progress to a violaceous or blue discoloration are ominous signs of necrotizing fasciitis or myositis. Necrotizing fasciitis may develop rapidly and carries a poor prognosis. Adult respiratory distress syndrome develops in 55% of patients.
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