Q) Least common Signs or symptoms of necrotising infections is
a) Unusual pain
b) Oedema beyond area of erythema
c) Crepitus
d) Fever
( MCQS on infections bailey and Sabiston based)
Ans d
Fever is usually absent
Indicators of Necrotizing Infections
- Severe and Unusual Pain: Patients often report intense pain that feels disproportionate to the visible injury.
- Swelling Beyond the Redness: Edema may extend past the area showing redness, signaling deeper tissue involvement.
- Presence of Crepitus: A crackling sound or sensation may be detected beneath the skin, caused by gas-producing bacteria.
- Formation of Blisters: Skin blisters may appear, indicating significant tissue damage.
- Absence of Fever: While fever is typical in infections, it may be notably absent in necrotizing cases.
- Dishwater-like Drainage: The discharge from the infected site may have a greyish, watery appearance, resembling dishwater.
- Discoloration of Skin: The skin may show pink or orange staining, indicative of infection severity.
- Localized Skin Necrosis: As a late-stage sign, areas of skin may develop gangrene, appearing blackened.
- Systemic Complications: Advanced infections can lead to shock, coagulopathy, and failure of multiple organ systems.
