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Vol. 21. Núm. 4.
Páginas 196-199 (Abril 2003)
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Vol. 21. Núm. 4.
Páginas 196-199 (Abril 2003)
Acceso a texto completo
Infecciones necrosantes de partes blandas: nomenclatura y clasificación
Necrotizing soft tissue infections: nomenclature and classification
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12349
Ubaldo Sáncheza,1
Autor para correspondencia
gpf@mundivia.es

Correspondencia: Dr. G. Peralta. Servicio de Medicina Interna. Hospital Sierrallana. Barrio de Ganzo, s/n. 39300 Torrelavega. Cantabria. España.
, Galo Peraltab
a Departamento de Medicina Intensiva. Unidad de Terapia Hiperbárica. Hospital Universitario Marqués de Valdecilla. Santander.
b Servicio de Medicina Interna. Hospital Sierrallana. Torrelavega. España.
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La terminología utilizada para referirse a las infecciones necrosantes de partes blandas (INPB) es abundante debido a la ausencia de definiciones claras y a la utilización de diversas clasificaciones que han considerado aspectos etiológicos, microbiológicos, anatómicos y/o clínicos. Esto ha llevado a un cierto grado de confusión. A efectos de unificar la terminología sería más adecuado emplear exclusivamente los términos fascitis necrosante y mionecrosis, cuya diferenciación es básicamente anatómica, o incluso emplear únicamente la expresión INPB, sin especificar, por cuanto constituye un conjunto de condiciones clínicas con importantes semejanzas fisiopatológicas y principios terapéuticos similares.

Palabras clave:
Infecciones necrosantes de partes blandas
Fascitis necrosante
Mionecrosis
Clasificación

La terminology used to refer to necrotizing infections is extensive because of the absence of clear definitions and the use of classification systems based on a variety of criteria, including etiologic, microbiologic, anatomic, and clinical aspects. This situation has led to some confusion. In the attempt to unify terminology, it might be more appropriate to use only the terms necrotizing fasciitis and myonecrosis, in which differentiation is mainly anatomical. Another option would be to use only the expression necrotizing soft tissue infections, a non-specific term, since these constitute a group of clinical processes having similar pathophysiologic characteristics and therapeutic principles.

Key words:
Necrotizing infections
Necrotizing fasciitis
Myonecrosis
Classification
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