Necrotizing soft-tissue infection from rectal abscess

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Abstract
Rectal abscess may result in necrotizing softtissue infection including fasciitis, myositis and extraperitoneal dissection of pus without muscle necrosis. The presentation and therapy of 10 patients treated over the past 6 yr are reviewed. Early recognition of rapidly spreading infection was imperative. The mortality rate of 40% correlated with the degree of sepsis present at admission. The high mortality attendant with the complications of rectal abscess emphasizes the need for aggressive therapy, including frequent examinations under anesthesia, wide debridement, systemic triple antibiotic therapy, diverting colostomy, aggressive wound care and hyperalimentation.

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