Validation of Lrinec Score for Necrotising Fasciitis –Our Experience
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 7
Abstract
Necrotizing fasciitis which is commonly known as “Flesh-Eating Disease” is a bacterial infection that spreads quickly and kills the body’s soft-tissue. The paucity of specific cutaneous signs to distinguish necrotizing fasciitis from other soft tissue infections such as cellulitis makes the diagnosis extremely difficult. Modalities such as Computed tomography, Magnetic resonance imaging (MRI), and biopsy have been shown to be useful in the early recognition of necrotizing fasciitis, and routine application of these modalities in the evaluation of soft tissue infections has been limited by cost and availability. Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score or the LRINEC scoring system, devised by Wong et al 36 in 2005 is an easy method and modality to follow and is also cost effective. Early diagnosis of necrotizing soft tissue infections is important for timely surgical intervention, but presenting physical exam findings can vary, so misdiagnosis is common(1). Total of 100 subjects were studied by applying LRINEC score, who presented to KIMS Hospital, Bangalore with symptoms suggestive of soft tissue infections during the study period
Authors and Affiliations
Dr Athirath Reddy K
Keywords
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