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Necrotizing Fasciitis in Hematological Patients: Enterobacteriaceae Predominance and Limited Utility of Laboratory Risk Indicator for Necrotizing Fasciitis Score
Author(s) -
Rui Min Foo,
Moon Ley Tung,
Li Mei Poon,
Douglas Chan,
Nares Smitasin,
Liang Piu Koh,
Wee Joo Chng,
Louis Yi Ann Chai
Publication year - 2015
Publication title -
open forum infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.546
H-Index - 35
ISSN - 2328-8957
DOI - 10.1093/ofid/ofv081
Subject(s) - fasciitis , medicine , risk stratification , intensive care medicine , surgery
Immune suppression is a recognized risk factor for necrotizing fasciitis. In patients with hematological malignancies, a profoundly immunocompromised group, the predominant causative organisms are Gram negative. Clinical presentation and outcomes in these patients are similar to the immunocompetent. The Laboratory Risk Indicator for Necrotizing Fasciitis score is not reliable for risk stratification of the disease.

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