Necrotizing fasciitis - Revision history

Danbot: Embed LRINEC Calculator on clinical page

2026-03-22T09:55:56Z

Embed LRINEC Calculator on clinical page

← Revisión anterior		Revisión del 09:55 22 mar 2026
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	==Calculators==		==Calculators==
			{{LRINEC Calculator}}
	{{LRINEC Score Calculator}}		{{LRINEC Score Calculator}}

Danbot: Strip excess bold text - keep only critical safety emphasis

2026-03-22T09:23:02Z

Strip excess bold text - keep only critical safety emphasis

Show changes

Danbot: Major update: NF types I-IV, clindamycin toxin suppression rationale, HUCLA criteria, skip lesions, la belle indifference, dishwater pus, repeat debridement timing, IVIG for strep TSS, references with PMIDs

2026-03-21T19:58:58Z

Major update: NF types I-IV, clindamycin toxin suppression rationale, HUCLA criteria, skip lesions, la belle indifference, dishwater pus, repeat debridement timing, IVIG for strep TSS, references with PMIDs

Show changes

Danbot: Move calculators to own section with header (visible in TOC), expanded, before External Links

2026-03-21T15:07:16Z

Move calculators to own section with header (visible in TOC), expanded, before External Links

← Revisión anterior		Revisión del 15:07 21 mar 2026
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	==Disposition==		==Disposition==
	*Admit to ICU		*Admit to ICU

			== Calculators ==
			{{LRINEC_Calculator}}

	==See Also==		==See Also==
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	==References==		==References==
	<references/>		<references/>


	~~<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">~~
	~~<div style="font-weight:bold;">📊 LRINEC Score Calculator [show]</div>~~
	~~<div class="mw-collapsible-content">~~
	~~{{LRINEC_Calculator}}~~
	~~</div>~~
	~~</div>~~
	[[Category:ID]]		[[Category:ID]]

Danbot: Add LRINEC Score calculator (collapsible)

2026-03-21T13:43:21Z

Add LRINEC Score calculator (collapsible)

← Revisión anterior		Revisión del 13:43 21 mar 2026
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	<references/>		<references/>


			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 LRINEC Score Calculator [show]</div>
			<div class="mw-collapsible-content">
			{{LRINEC_Calculator}}
			</div>
			</div>
	[[Category:ID]]		[[Category:ID]]

Rossdonaldson1: /* Video */

2024-04-17T20:11:38Z

Video

← Revisión anterior		Revisión del 20:11 17 abr 2024
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	*[[LRINEC_score\|Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score]]		*[[LRINEC_score\|Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score]]
	*[[EBQ:LRINEC Score]]		*[[EBQ:LRINEC Score]]

	~~==Video==~~
	~~{{#widget:YouTube\|id=-VC1f88MZWU}}~~

	==References==		==References==

Elcatracho: /* Management */

2021-12-27T22:57:11Z

Management

← Revisión anterior		Revisión del 22:57 27 dic 2021
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	**[[Piperacillin-Tazobactam]] 3.375-4.5g q6hr AND [[clindamycin]] 600-900mg q8hr AND [[vancomycin]] 1gm IV q12hr (consider weight base dosing of 20 mg/kg)		**[[Piperacillin-Tazobactam]] 3.375-4.5g q6hr AND [[clindamycin]] 600-900mg q8hr AND [[vancomycin]] 1gm IV q12hr (consider weight base dosing of 20 mg/kg)
	**[[Piperacillin-Tazobactam]] 3.375-4.5g q6hr and [[linezolid]] 600mg q12hr is an alternative regimen<ref>Stevens DL, Bisno AL, Chambers HF, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America [published correction appears in Clin Infect Dis. 2015 May 1;60(9):1448. Dosage error in article text]. Clin Infect Dis. 2014;59(2):e10-e52. doi:10.1093/cid/ciu444</ref>		**[[Piperacillin-Tazobactam]] 3.375-4.5g q6hr and [[linezolid]] 600mg q12hr is an alternative regimen<ref>Stevens DL, Bisno AL, Chambers HF, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America [published correction appears in Clin Infect Dis. 2015 May 1;60(9):1448. Dosage error in article text]. Clin Infect Dis. 2014;59(2):e10-e52. doi:10.1093/cid/ciu444</ref>
	*In diabetics, maintain strict glycemic control (with IVFs and IV insulin if necessary)		*In diabetics, maintain strict glycemic control (with [[IVFs]] and IV [[insulin]] if necessary)

	==Disposition==		==Disposition==

Elcatracho: /* Evaluation */

2021-12-27T22:55:54Z

Evaluation

← Revisión anterior		Revisión del 22:55 27 dic 2021
Línea 60:		Línea 60:
	**US may show thickened fascial planes, fluid between fascial planes, irregularity of the fascia, subcutaneous emphysema. The study may be limited by soft tissue gas. Video lecture<ref>Soft Tissue Ultrasound with Jacob Avila on Core Ultrasound. https://www.coreultrasound.com/sti/</ref>.		**US may show thickened fascial planes, fluid between fascial planes, irregularity of the fascia, subcutaneous emphysema. The study may be limited by soft tissue gas. Video lecture<ref>Soft Tissue Ultrasound with Jacob Avila on Core Ultrasound. https://www.coreultrasound.com/sti/</ref>.
	**MRI - T2 subcutaneous, intramuscular, and fascial edema		**MRI - T2 subcutaneous, intramuscular, and fascial edema
	*Absence of gas on imaging '''does not''' exclude diagnosis, as gas may be occult and/or certain organisms do not classically produce gas (i.e. Group A Strep)		*Absence of gas on imaging '''does not''' exclude diagnosis, as gas may be occult and/or certain organisms do not classically produce gas (i.e. [[Streptococcus\|Group A Strep]])
	{{LRINEC SCORE}}		{{LRINEC SCORE}}

Elcatracho: /* Management */

2021-02-09T01:35:34Z

Management

← Revisión anterior		Revisión del 01:35 9 feb 2021
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	**Must cover [[gram positives]], [[gram negatives]], and [[anaerobes]] (especially [[GAS]] and [[clostridium]])		**Must cover [[gram positives]], [[gram negatives]], and [[anaerobes]] (especially [[GAS]] and [[clostridium]])
	**[[Piperacillin-Tazobactam]] 3.375-4.5g q6hr AND [[clindamycin]] 600-900mg q8hr AND [[vancomycin]] 1gm IV q12hr (consider weight base dosing of 20 mg/kg)		**[[Piperacillin-Tazobactam]] 3.375-4.5g q6hr AND [[clindamycin]] 600-900mg q8hr AND [[vancomycin]] 1gm IV q12hr (consider weight base dosing of 20 mg/kg)
			**[[Piperacillin-Tazobactam]] 3.375-4.5g q6hr and [[linezolid]] 600mg q12hr is an alternative regimen<ref>Stevens DL, Bisno AL, Chambers HF, et al. Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the Infectious Diseases Society of America [published correction appears in Clin Infect Dis. 2015 May 1;60(9):1448. Dosage error in article text]. Clin Infect Dis. 2014;59(2):e10-e52. doi:10.1093/cid/ciu444</ref>
	*In diabetics, maintain strict glycemic control (with IVFs and IV insulin if necessary)		*In diabetics, maintain strict glycemic control (with IVFs and IV insulin if necessary)

Hoxbox: /* Evaluation */

2021-01-27T11:30:54Z

Evaluation

← Revisión anterior		Revisión del 11:30 27 ene 2021
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	**Should not delay surgical exploration		**Should not delay surgical exploration
	**CT is study of choice - soft tissue gas, edema and fluid collections, fascial thickening with fat stranding		**CT is study of choice - soft tissue gas, edema and fluid collections, fascial thickening with fat stranding
	**US may show thickened fascial planes, fluid between fascial planes, irregularity of the fascia, subcutaneous emphysema. The study may be limited by soft tissue gas		**US may show thickened fascial planes, fluid between fascial planes, irregularity of the fascia, subcutaneous emphysema. The study may be limited by soft tissue gas. Video lecture<ref>Soft Tissue Ultrasound with Jacob Avila on Core Ultrasound. https://www.coreultrasound.com/sti/</ref>.
	**MRI - T2 subcutaneous, intramuscular, and fascial edema		**MRI - T2 subcutaneous, intramuscular, and fascial edema
	*Absence of gas on imaging '''does not''' exclude diagnosis, as gas may be occult and/or certain organisms do not classically produce gas (i.e. Group A Strep)		*Absence of gas on imaging '''does not''' exclude diagnosis, as gas may be occult and/or certain organisms do not classically produce gas (i.e. Group A Strep)