Infections that require operative treatment include all of the following EXCEPT
|A||abscess of the hip|
|D||necrotizing fasciitis of the thigh|
a. In necrotizing cellulitis. necrosis generally occurs when the infection is neglected or inadequately treated.
b. The microbiology of necrotizing cellulitis is also similar to that of nonnecrotizing cellulitis, except that C. perfringens and other clostridial species may be involved when necrosis is present.
c. In addition to antimicrobial therapy , urgent operative debridement is indicated. In other respects, necrotizing cellulitis is treated in much the same way as deep necrotizing infections are. In some patients with necrotizing fasciitis, the skin is involved secondarily.
d. Abscess is a collection of pus. Any collection of pus irrespective of the site has to be drained.
e. Empyemais pus collection in pleural space.It requires intercoastal drainage .
f. Infected ascites is a form of spontaneous bacterial peritonitis involving the peritoneal fluid. It requires proper antibiotic therapy . Localised abscess in peritoneal cavity requires drainage either by percutaneous route or operatively.