Epidemiology

Risk Factors

• Wound with Fresh Water Exposure

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Etiology

• xxx

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Physiology

• xxx

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Diagnosis

• xxx

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Clinical Manifestations

Soft Tissue Manifestations

• Necrotizing Fasciitis (Type II) (see Necrotizing Soft Tissue Infection, [[Necrotizing Soft Tissue Infection]])
  • XXXXX

Other Manifestations

• xxx

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Treatment

Antibiotics

Recommnendations (IDSA Guidelines, 2014) (Clin Infect Dis, 2014) [MEDLINE]

• Combination Doxycycline + Ciprofloxacin (or Ceftriaxone)
  • Doxycycline (XXX) (see Doxycycline, [[Doxycycline]]): 100 mg IV q12hrs
  • Ciprofloxacin (Cipro) (see Ciprofloxacin, [[Ciprofloxacin]]): 500 mg IV q12hrs
  • Ceftriaxone (Rocephin) (see Ceftriaxone, [[Ceftriaxone]]): 1-2g IV q24hrs

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References

• Practice guidelines for the diagnosis and management of skin and soft tissue infections: 2014 update by the infectious diseases society of America. Clin Infect Dis. 2014 Jul 15;59(2):147-59. doi: 10.1093/cid/ciu296. Epub 2014 Jun 18 [MEDLINE]