Abstract:
Background. The new early diagnosis of necrotizing fasciitis, and,
consequently, the key to successful treatment of these severe patients, to date,
is still a timely thorough analysis of anamnestic data and clinical symptoms. At
the same time, there is no reliable data on the clinical significance of various
symptoms of necrotizing fasciitis, as well as on specific signs of varieties of
such infections in the literature.
Material. The clinical picture and features of the course of necrotizing fasciitis
in 45 patients who were treated and examined in the multidisciplinary clinic of
the Tashkent Medical Academy from 2020 to 2022 were analyzed.
Conclusion. In the early stages of the disease, the diagnosis of necrotizing
soft tissue infection can almost always be established based on an assessment
of the clinical picture of the disease. Conducting an additional examination
(ultrasound, computed tomography, radiography) is advisable only with a
dubious clinical picture and the absence of a pronounced increasing syndrome
of a systemic inflammatory reaction. Diagnostic puncture is not an informative
diagnostic method for necrotizing infections. Differential diagnosis of
necrotizing soft tissue infection should be carried out with several infectious
and non-infectious lesions. If suspicions of necrotizing infection persist, surgical
revision of all layers of soft tissues is indicated
