James D. Perkins, MD Dr. Perkins is Affiliate Assistant Professor of Obstetrics and Gynecology at the University of Mississippi Medical Center in Jackson, Miss, and Adjunct Clinical Assistant Professor of Obstetrics and Gynecology at Morehouse School of Medicine in Atlanta, Ga. He also practices ObGyn at Mallory Community Health Center in Canton, Miss.
Roland A. Pattillo, MD Dr. Pattillo is Professor of Obstetrics and Gynecology and Director of Gynecologic Oncology at Morehouse School of Medicine in Atlanta, Ga.
Treatment of necrotizing fasciitis requires intravenous, broad-spectrum antibiotics, including penicillin, that are adjusted according to the findings of the wound culture and sensitivity test. Cardiovascular and fluid-volume support is critical, as is wide surgical debridement of all necrosed skin and fascia. The latter, in fact, is the cornerstone of therapy.
