Necrotizing fasciitis following venomous snakebites in a tertiary hospital of southwest Taiwan.

摘要: Abstract Background Necrotizing fasciitis following venomous snakebites is uncommon. The purpose of this study was to describe the initial clinical features necrotizing after snakebites, and identify risk factors for patients with cellulitis who later developed fasciitis. Methods Sixteen surgically confirmed 25 diagnosed were retrospectively reviewed over a 6-year period. Differences in patient characteristics, presentations, snake species laboratory data compared between groups. Results None 41 died being bitten by snake. Twenty-nine (70.7%) cobra. Enterococcus Morganella morganii most common pathogens identified wound cultures. Relative group, group had significantly higher rates hemorrhagic bullae ( p =0.000), underlying chronic disease =0.019), white blood cell counts =0.035), segmented =0.02), days hospitalization =0.001). Conclusions Victims should be admitted close monitoring secondary infections. developing from associated diseases leukocytosis (total blood-cell ≥10000cells/mm 3 ≥80% leukocyte forms). Physicians alert worsening condition snakebite, surgical interventions performed established empirical use third-generation cephalosporins plus other regimens.