A 5-year retrospective analysis of XXXX --a single center experiences.

@entity1 @entity295 @entity697 @entity28 @entity39 @entity6 @entity2688 @entity177 @entity158 @entity130
BACKGROUND/AIM: @entity39 ( @entity39 ) is usually an @entity697 with rapid progression in around soft tissue. If not promptly recognized and aggressively treated @entity39 usualy leads to @entity295 and @entity177 with fatal outcome, thus early diagnosis and prompt surgical treatment are crucial for healing of these @entity1 . The aim of this article was to evaluate the clinical presentation of all @entity1 with acute @entity39 diagnosed and treated in surgical clinics of Clinical Center of Vojvodina, Novi Sad, Serbia. METHODS: The medical records of @entity1 treated for acute @entity39 localized on a different parts of the body in Clinical Center of Vojvodina, Novi Sad, Serbia, during a 5-year period (from January 2008 to December 2012) were retrospectively evaluated. This study enrolled @entity1 admitted via Emergency Center of Vojvodina with the diagnosis of acute @entity39 either as the primary diagnosis or with the diagnosis at discharge after surgical treatment. RESULTS: During a 5-year period there were 216 @entity1 with final diagnosis of acute @entity39 . Most of our @entity1 (140-64.81%) were admitted with the initial diagnosis of @entity2688 , abscesses, phlegmons or @entity295 . Unfortunately, the clinical symptoms of acute @entity39 were atypical at time of initial examination. @entity158 and swelling of the affected localization were the most presented bias of symptoms (183-84.72%). The majority of our @entity1 were male (164-75.92%). Among the 216 @entity1 , the most common pre-existing single factor was drug abuse (39-18.05%), followed by @entity28 (38-17.59%) and @entity6 (31-14.35%). @entity130 was most common etiological factor (22-10.8%) in infected wounds, followed by abdominal (15-6.94%) and orthopedic (11-5.09%) surgical intervention. In the present study idiopathic acute @entity39 was diagnosed in 22 (10.18%) @entity1 and more than one etiological factor were diagnosed in 20 (9.25%) @entity1 . The majority of our pa- tients had type I acute @entity39 (172-79.62%) with Streptococcal species as the most common microorganism (125-71.02%). The most common localization was an extremity (151-69.90%). The minority of our @entity1 had head and neck lo- calization of infection (7-3.24%). Surgical treatment was performed in all the @entity1 and most of them (183-84.72%) received the first surgery within 24 h. Other @entity1 (23-10.64%) received operation after stabilization of general status or after getting the diagnosis of acute @entity39 (unclear diagnosis on admission). During hospitalization, the most common complication among our @entity1 was @entity295 (156-72.22%). The mortality rate was 14.35%. CONCLUSION: Acute @entity39 is a rare but very difficult and sometimes life-threatening disease of superficial fascia and around soft tissue. If acute @entity39 is suspected, early radical excision of all the affected tissue with exploration and excision of superficial fascia with pathological and microbiological assessment are most significant for treatment. Appropriate antibiotics and intensive care set ting to manage other organ failure of @entity39 are recommended at the same time with surgery.
