What question did this study set out to answer?

The study aims to evaluate the relationship between clinical-radiological suspicion and intraoperative findings in necrotizing fasciitis.

March 7, 2026

Overdiagnosis of necrotizing fasciitis: clinical–radiological suspicion versus intraoperative findings in 62 fasciotomy patients

Key Points

The study aims to evaluate the relationship between clinical-radiological suspicion and intraoperative findings in necrotizing fasciitis.
Analyzed 62 patients undergoing fasciotomy for suspected necrotizing fasciitis.
Evaluated LRINEC scores alongside clinical signs of necrosis.
Compared outcomes based on timing and decision-making in fasciotomy procedures.
Elevated LRINEC scores predict necrosis but not mortality.
Early surgical exploration improves outcomes, regardless of confirmed necrosis.
Clinical judgement plays a key role in timely interventions.

Abstract

Elevated LRINEC scores and advanced clinical signs predict confirmed necrosis but not mortality. The timely decision to perform fasciotomy, regardless of confirmed necrosis, appears to be critical for improving outcomes. This suggests that relying on clinical judgement and early surgical exploration is critical for a timely and effective response to highly suspected cases of NF.

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Overdiagnosis of necrotizing fasciitis: clinical–radiological suspicion versus intraoperative findings in 62 fasciotomy patients

Key Points

Abstract

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