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Necrotising fasciitis
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== '''Differential diagnosis''' == ** Necrotizing cellulitis *** Typically caused by anaerobes *** Clostridial vs non-clostridial **** Crepitus observed in both types **** Sparing of fascia and muscles *** Relatively mild systemically ** Cellulitis *** Normal CK/AST *** Not usually septic, apart from low-grade ** Pyoderma gangrenosum *** IBD patients *** No cellulitis *** Violaceous ulcer edge *** Less sepsis *** Worsens with surgery *** Normal fascial planes *** Responds to steroids, does not respond to antibiotics ** Pyomyositis (abscesses) or necrotizing myositis (gangrene) *** An infection of skeletal muscle typically caused by GAS and other beta-haemolytic streptococci *** Preceded by skin abrasions, blunt trauma, or heavy exercise *** Separate to clostridial myonecrosis ** DVT
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