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.

Veterans Can Now Access Their Health Records Through Apple’s Health App

SeventyFour/iStock via Getty Images
SeventyFour/iStock via Getty Images

Apple’s iOS Health app is great for more than just checking how many steps you took during a lengthy walk in the park—it also stores health records from Johns Hopkins, Quest Diagnostics, Allscripts, and more than 400 other healthcare organizations.

Now, Fortune reports that the U.S. Department of Veterans Affairs (VA) has joined that list, making it easier than ever for military veterans who receive healthcare through the Veterans Health Administration to access all of their health records, including medications, immunizations, lab results, and other information. In the press release, Apple explains that the app will automatically update the records, so all veterans need to do is log into their providers’s patient portals through the Health app for a “single, integrated snapshot of their health profile whenever they want, quickly, and privately.”

apple VA health app screenshot
Apple

Though the official announcement coincides nicely with Veterans Day on Monday, the change itself has been in the works for several months—the VA released the new feature to certain patients over the summer.

According to its website, the Veterans Health Administration is the largest integrated healthcare system in the country, servicing more than 9 million patients across 1255 healthcare facilities. With such an expansive network, any successful attempt to streamline processes and improve the flow of information—especially when it comes to sensitive, personal data—has the potential to be a major game-changer for veterans.

apple VA health app screenshot
Apple

“Helping veterans gain a better understanding of their health is our chance to show our gratitude for their service,” Apple COO Jeff Williams said in the press release. “By working with the VA to offer Health Records on iPhone, we hope to help those who served have greater peace of mind that their healthcare is in good hands.”

Wondering what you can do to help veterans? Here are 11 honorable ideas.

[h/t Fortune]

A Handful of Lucky College Students Live With Senior Citizens in This Minnesota Mansion

vadimguzhva/iStock via Getty Images
vadimguzhva/iStock via Getty Images

When Winona State University student Ashley McGaw skateboards home after a long day of nursing classes, she’s greeted by an unusual entourage: the elderly residents of a Minnesota assisted living facility called Senior Living at Watkins.

According to WFAA, McGaw and several other college kids live there with 45 seniors as part of Winona Health’s “Students in Residence" program, in which students volunteer their time with residents in exchange for discounted rent. For 10 volunteer hours per month, it’s $400, and doubling your hours drops it to just $200 per month. Not only does that include meals, it also gives students the chance to forgo the usual college dorm building for the stately glamour of an old mansion—their rooms are located in the historic Watkins Manor House, which is attached to the assisted living facility.

For freshman Joel Olson, the opportunity seemed like a no-brainer.

“'All you have to do is spend some time with some really nice people?'” he remembers thinking, according to KARE 11. “Of course!”

As for how they spend that time, it’s up to the students. Graduate student Laura Jensen hosts weekly crocheting sessions, nursing student Hanna Rottier offers manicures, and bulletin boards advertise free tech support.

And, in return for sharing their time and talents, students get to experience the familial affection and grandparental concern that’s often scarce on a college campus.

“They all mother me,” Jensen tells KARE 11 about the members of her crocheting club. “They take care of me.”

Winona Health assisted living director Cheryl Krage sees evidence of this, too.

“I hear residents wondering how the students are doing with their studies,” Winona Health assisted living director Cheryl Krage tells KARE 11. “‘Are you eating enough, are you getting enough fruits and vegetable[s]?"

According to the program page on Winona Health’s website, the program is especially beneficial to students looking to enter the healthcare industry, whether that’s medical school, nursing, social work, rehabilitative therapy, or even music therapy.

It also keeps senior citizens connected to the next generation in a deeper way.

“Helps us stay young – ger,” senior resident Diane Sheldon told KARE 11.

[h/t WFAA]

SECTIONS

arrow
LIVE SMARTER