{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T02:44:52Z","timestamp":1771555492325,"version":"3.50.1"},"reference-count":19,"publisher":"ALUNA","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Wiad Lek"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:p>The aim: To detect the ultrasonographic signs of necrotizing fasciitis (NF) suitable for its early diagnosis. \nMaterials and methods: Eigty two patients with soft tissue infection, including 14 with necrotizing faciitis, were examined by ultrasonography at the admission. Ultrasonografic features were compared to intraoperative findings by the same surgeon. \nResults: The thickening of subcutaneous tissue had high sensitivity (100%), but low specificity (5.8%). The hypoechoic and hyperechoic zones had the shape of \u201ccobblestone\u201d with sensitivity \u2013 78.5%, specificity \u2013 33.8%. Higher specificity (69.1%) had sign of \u201ccobblestone separation\u201d on two layers. The presence of fluid above the fascia (sensitivity \u2013 71.4%; specificity \u2013 69.1%), thickening of the fascia (sensitivity \u2013 85.7%; specificity \u2013 58.8%), indistinctness of the fascia edges (sensitivity \u2013 85.7%; specificity \u2013 66.1%) and loss of fascial homogeneity (sensitivity \u2013 71.4%, specificity \u2013 66.1%) were noted in early stages of NF. Advanced cases of NF were accompanied by the dissection of thick\u00acened fascia with a strip of fluid (sensitivity \u2013 57.1%, specificity \u2013 92.6%) and accumulation of a fluid under the fascia (sensitivity \u2013 28.5%, specificity \u2013 95.5%). The muscles thickening (sensitivity \u2013 28.5%; specificity \u2013 67.6%), skin thickening (sensitivity \u2013 57.1%; specificity \u2013 58.8%), and loss of the skin\u2019s lower edge clarity (sensitivity \u2013 57.1%; specificity \u2013 63.2%) don\u2019t have diagnostic value without other signs of NF. \nConclusions: Point-of-care ultrasonography allows visualization of soft tissue changes that may be hidden in the initial stages of necrotizing fasciitis and should be recommended for implementation as mandatory method of examination in patients with suspected surgical soft tissue infection.<\/jats:p>","DOI":"10.36740\/wlek202210129","type":"journal-article","created":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T19:31:26Z","timestamp":1670614286000},"page":"2471-2475","source":"Crossref","is-referenced-by-count":3,"title":["POINT-OF-CARE ULTRASOUND IN THE EARLY DIAGNOSIS OF NECROTIZING FASCIITIS"],"prefix":"10.36740","volume":"75","author":[{"given":"Ihor V.","family":"Stoianovskyi","sequence":"first","affiliation":[{"name":"DANYLO HALYTSKY LVIV NATIONAL MEDICAL UNIVERSITY, LVIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergii D.","family":"Khimich","sequence":"additional","affiliation":[{"name":"NATIONAL PIROGOV MEMORIAL MEDICAL UNIVERSITY, VINNYTSIA, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orest M.","family":"Chemerys","sequence":"additional","affiliation":[{"name":"DANYLO HALYTSKY LVIV NATIONAL MEDICAL UNIVERSITY, LVIV, UKRAINE"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"22436","published-online":{"date-parts":[[2022]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1. 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