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Volume 331:279-280 July 28, 1994 Number 4
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Clinical Problem-Solving: Necrotizing Fasciitis

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To the Editor: Magnetic resonance imaging (MRI) of the extremity can be particularly useful in delineating a collection of inflammatory fluid at the interface of muscle and fascia in areas of necrosis. Why was MRI not performed in the patient described in the March 3 Clinical Problem-Solving article,1 especially since the information obtained might have allowed earlier treatment with less tissue loss? The patient had cellulitis in the calf, according to the description. If it remained below the knee, why did the surgeon not consider an open, below-knee amputation with debridement of necrotic fascia? In some cases of sepsis of . . . [Full Text of this Article]


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