Severe systemic sepsis resulting from neglected perineal infections.
Publication/Presentation Date
6-1-1983
Abstract
Eleven patients with severe necrotizing fasciitis involving the soft tissues and muscles of the perineum, abdominal wall, buttocks, and thighs were treated on the Tulane Surgical Service in New Orleans between 1979 and 1981. The etiologic factor in ten of these patients was a neglected or inadequately drained perirectal abscess. Three of the 11 patients died of the disease and ensuing multiple organ failure, for a mortality of 27%. All of the patients had signs of systemic sepsis. Initial radical debridement of all involved tissues, diverting colostomy, and aggressive medical support of the multisystem failure that ensues from sepsis are essential for successful management. To decrease the prohibitive mortality, early treatment is essential. A preventive measure appears to be operative drainage under adequate anesthesia of all perirectal abscesses.
Volume
76
Issue
6
First Page
746
Last Page
749
ISSN
0038-4348
Published In/Presented At
Adinolfi, M. F., Voros, D. C., Moustoukas, N. M., Hardin, W. D., & Nichols, R. L. (1983). Severe systemic sepsis resulting from neglected perineal infections. Southern medical journal, 76(6), 746–749. https://doi.org/10.1097/00007611-198306000-00018
Disciplines
Medicine and Health Sciences
PubMedID
6857307
Department(s)
Department of Surgery
Document Type
Article