What You Should Know About Necrotizing Fasciitis, the 'Flesh-Eating' Infection

DragonImages/iStock via Getty Images
DragonImages/iStock via Getty Images

You’ve likely stumbled across one of several recent news stories describing cases of necrotizing fasciitis, or “flesh-eating bacteria.” The condition can follow exposure to certain bacteria in public beaches, pools, or rivers. This July, a man in Okaloosa County, Florida with a compromised immune system died after going into local waters. Just two weeks before, a 12-year-old girl was diagnosed with necrotizing fasciitis after scraping her foot in Pompano Beach, Florida. The stories and their disturbing imagery spread on social media, inviting questions over the condition and how it can be avoided.

According to the Centers for Disease Control and Prevention, necrotizing fasciitis can be caused by different strains of bacteria, with group A Streptococcus (strep) being the most common. When group A strep enters the body through a break in the skin like a cut or burn, a serious and rapidly spreading infection can develop. People will have a high fever, severe pain at the site of exposure, and eventual tissue destruction, which gives the condition its name. Necrotizing is to cause the death of tissue, while fasciitis is inflammation of the fascia, or tissue under the skin.

Because necrotizing fasciitis spreads so quickly, it’s crucial for people to seek medical attention immediately if they see early symptoms: rapid swelling and redness that spreads from a cut or burn, fever, and severe pain. Doctors can diagnose the infection using tissue biopsies, blood work, or imaging of the infected site, though they’ll almost always initiate treatment immediately. IV antibiotics, surgery to excise dead tissue, and blood transfusions are all used in an attempt to resolve the infection.

Even with care, necrotizing fasciitis can lead to complications like organ failure or sepsis. An estimated one in three people who are diagnosed with the condition die.

Fortunately, the condition is extremely rare in the United States, with an estimated 700 to 1200 cases confirmed each year. The CDC acknowledges, however, that the number is likely an low estimate.

Because group A strep can be found in water, the CDC advises people to avoid going into public waters with any kind of open wound. This applies to both public beaches and rivers as well as swimming pools or hot tubs. Chlorination is no guarantee against group A strep. Any cut or other wound should always be cleaned with soap and water. It’s especially important that people with compromised immune systems from illness, diabetes, cancer, or another conditions be exceedingly careful.

Rising ocean temperatures may make necrotizing fasciitis more common, unfortunately. A recent study in the Annals of Internal Medicine suggested that warmer water temperatures in Delaware Bay has allowed another kind of bacteria, Vibrio vulnificus, to flourish, resulting in five cases of necrotizing fasciitis in 2017 and 2018. Previously, only one case had been confirmed since 2008. Florida is also known to harbor group A strep in seawater.

But, owing to its rarity, necrotizing fasciitis should not overly concern people with healthy immune systems and unbroken skin. If you suffer a cut with a reddened area accompanied by severe pain and fever, however, seek medical evaluation right away.

Move Over Dogs, Goats, and Peacocks: Llamas Are the Hot New Therapy Animal

jensenwy/iStock via Getty Images
jensenwy/iStock via Getty Images

Possibly because Dasher, Dancer, Prancer, and the rest of the reindeer are pretty busy at this time of year, Kimpton Hotel Monaco in Portland, Oregon, is offering guests the chance to hang out with a few jolly llamas instead.

The Washington Post reports that the friendly, festively dressed llamas belong to Mountain Peaks Therapy Llamas and Alpacas, which usually brings them to hospitals, rehabilitation centers, senior communities, hospice care, special-needs organizations, and even schools. According to the organization’s website, the visits help “alleviate loneliness, lower blood pressure, and reduce stress.”

And, though the clinical benefits to the Kimpton’s guests haven’t been proven, hotel manager Travis Williams confirms that everyone definitely loves spending time with the quirky quadrupeds. Last year, after overwhelmingly positive reactions to the llama visits, the hotel decided to bring them back.

“Once we saw the joy that it brought people, we just kept going,” Williams told The Washington Post.

While it might seem like the use of llamas for therapy is a characteristically Portland-ish idea, it’s not the only place you can find them. The New York Times reports that 20 llamas and alpacas are registered with Pet Partners, a national nonprofit organization for therapy animals, and many others are owned and trained by private family farms across the country.

Jeff and Carol Rutledge, for example, have 13 llamas and alpacas on their property in Stockdale, Texas, outside San Antonio. Three of them are registered therapy animals, having passed a test that includes being touched by strangers and staying unaffected while people argue near them.

During their visits to assisted living facilities, veterans’ homes, and other events in the area, the Rutledges have observed the animals having a profound effect on residents’ behavior. One man, who is nonverbal and recovering from a motorcycle accident, will murmur as he grooms one of the llamas. And the Rutledges’ high-school-aged daughter, Zoe, even did a science experiment for her 4-H club that showed the residents’ blood pressure is lower after visiting with the llamas.

While there’s not a very high chance of seeing therapy llamas in airports just yet, you might be lucky enough to see something a little smaller—like LiLou, San Francisco International Airport’s first therapy pig.

[h/t The Washington Post]

Nike Is Releasing a Durable Slip-On Sneaker Designed for Medical Professionals

monkeybusinessimages/iStock via Getty Images
monkeybusinessimages/iStock via Getty Images

Nike is known for releasing footwear that covers just about every activity under the moon—impact-absorbing running shoes, sleek soccer cleats, snazzy fashion statements, and so much more. Now, they’ve developed a sneaker for nurses, doctors, and other medical professionals who spend long shifts on their feet.

According to a press release, Nike sent designers to the OHSU Doernbecher Children’s Hospital in Portland, Oregon, where they learned from healthcare providers exactly what their jobs entail. Then, they used their findings to create the Nike Air Zoom Pulse, a “traditional clog made athletic.”

nike air zoom pulse
Nike

If you’ve ever gone sightseeing in a new city or even just taken a longer-than-expected afternoon stroll, you might have experienced firsthand that even your most comfortable walking shoes stop being so comfortable after a few miles of non-stop action—and nurses experience that type of exercise every time they go to work. During a regular 12-hour shift, a nurse might walk between four and five miles and sit for less than an hour. To account for that, the Nike Air Zoom Pulse features a full-rubber outsole, a flexible drop-in midsole, arch support, and a “heel fit so secure [that] it feels like a soft, snug hug.”

nike air zoom pulse
Nike

Since healthcare professionals also need a shoe durable enough to withstand spills of any kind, Nike coated the top of the Air Zoom Pulse with a polyurethane layer that’s easy to wipe down. It’s also a laceless slip-on, so people won’t have to worry about tripping on untied laces—and they’ll also be able to slip their shoes off for a quick nap in the staff room.

nike air zoom pulse
Nike

Six patients at the OHSU Doernbecher Children’s Hospital have contributed vibrant, colorful designs for the Air Zoom Pulse, which Nike will release for online orders (in versions that include its own colorways) starting December 7.

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