Necrotizing fasciitis. Possible profiles of professional liability with reference to two cases

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COD: 01_2018_11_2737 Categorie: ,

Gian Luca Marella, Enrico De Dominicis, Giovanni Battista Paliani,
Giuseppe Santeusanio, Luigi Tonino Marsella, Saverio Potenza

Ann Ital Chir, Digital Edition 2018, 7
Epub Ahead of Print – December 18

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Necrotizing fasciitis is one of the most dangerous complication of an abscess and it is still a disease with a high mortality.
In this work, we decided to consider two cases: the first one concerns a male subject, aged 66, deceased because
of a fatal necrotizing fasciitis associated to a cervical descending mediastinitis, which evolved from a primary peritonsillar
abscess; the second is about a 50-year-old woman with a perineal abscess, then evolved into necrotizing fasciitis
associated to a fatal septis shock. After a systematic consideration of necrotizing fasciitis as pathology and an analysis of
the possible related risks to a diagnostic or therapeutic delay, we analyzed the particular history of both cases to underline
the possible critical issues in professional behavior of the medical staff intervened.