Diagnosing Necrotizing Fasciitis

William Silen, Steven L. Sivak, Ivan Stamenkovic, P. Daniel Lew

Research output: Contribution to journalLetterpeer-review


To the Editor: The suggestion that frozen-section biopsy be used for the early recognition of necrotizing fasciitis is interesting, but many questions are raised by the study of Stamenkovic and Lew (June 28 issue).1 First of all, even though data are provided in Table 3 to assure us that the biopsied and nonbiopsied patients were comparable, one of the most important comparative features — i.e., the appearance of the local process — is omitted. In 5 of the 14 biopsied patients, the biopsy was done because of a clinical suspicion of the diagnosis of necrotizing cellulitis, but we are not.

Original languageEnglish
Pages (from-to)989-990
Number of pages2
JournalNew England Journal of Medicine
Issue number15
StatePublished - 11 Oct 1984
Externally publishedYes


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