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

Authors:
Gian Luca Marella
Gian Luca Marella
University of Rome Tor Vergata
Enrico De Dominicis
Enrico De Dominicis
Tor Vergata University of Rome
Giovanni Battista Paliani
Giovanni Battista Paliani
Catholic University
Giuseppe Santeusanio
Giuseppe Santeusanio
S. Eugenio Hospital
Italy
Luigi Tonino Marsella
Luigi Tonino Marsella
University of Rome "Tor Vergata" School of Medicine
Italy
Saverio Potenza
Saverio Potenza
University of Rome Tor Vergata
Italy

Ann Ital Chir 2018 ;89:70-74

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.

Key Words: Abscess, Medical malpractice, Mortality, Necrotizing fasciitis, Professional liability.

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Source
November 2018
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