{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,24]],"date-time":"2025-08-24T22:59:21Z","timestamp":1756076361917,"version":"3.41.2"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2019,11,5]],"date-time":"2019-11-05T00:00:00Z","timestamp":1572912000000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Necrotizing fasciitis (NF) is a complicated soft tissue infection frequently associated with severe sepsis if an early medical and surgical treatment is not performed. We report two postoperative cases of severe NF after oophorectomy and colorectal resection. Because of the similarity with more benign skin infections at the early steps, clinical suspicion is crucial. Surgical exploration and resection will provide both the diagnosis confirming necrotizing infection of the fascia with vessels and treatment. Also, empirical broad-spectrum antibiotics must be initiated as soon as possible. Regardless of the presence of risk factors, NF is a condition with a high mortality rate and only an expeditious and undelayed treatment may improve the patient\u2019s outcome. Surgical focus control requires wide and repeated resections, and planned reconstructive plastic surgery might be necessary.<\/jats:p>","DOI":"10.1093\/jscr\/rjz269","type":"journal-article","created":{"date-parts":[[2019,9,10]],"date-time":"2019-09-10T11:35:14Z","timestamp":1568115314000},"source":"Crossref","is-referenced-by-count":3,"title":["Massive necrotizing fasciitis: a life threatening entity"],"prefix":"10.1093","volume":"2019","author":[{"given":"Ramon","family":"Vilallonga","sequence":"first","affiliation":[{"name":"Endocrine Bariatric and Metabolic Unit, General Surgery Department, Universitary Hospital Vall d\u2019Hebron, European Center of Excellence (EAC-BS), Barcelona, Spain"},{"name":"Universitat Aut\u00f2noma de Barcelona, Barcelona, Spain"},{"name":"ELSAN, Clinique St-Michel, Toulon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Mazarro","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hospital Universitari de la Vall d\u2019Hebron, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Rita","family":"Rodr\u00edguez-Luna","sequence":"additional","affiliation":[{"name":"Hospital de la Santa Creu I Sant Pau, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enric","family":"Caubet","sequence":"additional","affiliation":[{"name":"Endocrine Bariatric and Metabolic Unit, General Surgery Department, Universitary Hospital Vall d\u2019Hebron, European Center of Excellence (EAC-BS), Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Manuel","family":"Fort","sequence":"additional","affiliation":[{"name":"Endocrine Bariatric and Metabolic Unit, General Surgery Department, Universitary Hospital Vall d\u2019Hebron, European Center of Excellence (EAC-BS), Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Armengol","sequence":"additional","affiliation":[{"name":"General Surgery Department, Hospital Universitari de la Vall d\u2019Hebron, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xavier","family":"Guirao","sequence":"additional","affiliation":[{"name":"Department of General Surgery Parc Tauli, Hospital Universitari, Sabadell, Hospital General de Granollers, Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,11,5]]},"reference":[{"key":"2019110507563571900_ref1","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1001\/archsurg.140.2.151","article-title":"Predictors of mortality and limb loss in necrotizing soft tissue infections","volume":"140","author":"Anaya","year":"2005","journal-title":"Arch 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