Chapter 20. Superficial Sepsis, Cutaneous Abscess and Necrotising Fasciitis

  1. Adam Brooks FRCS (Gen Surg), DMCC Consultant Senior Lecturer2,3,
  2. Bryan A. Cotton MD, MPH Associate Professor4,
  3. Lt Col Nigel Tai MS, FRCS (Gen Surg), RAMC Consultant Senior Lecturer3,5 and
  4. Col Peter F. Mahoney OBE, TD, MSc, FRCA, RAMC Defence Professor6
  1. Conor D. Marron

Published Online: 10 MAR 2010

DOI: 10.1002/9781444315172.ch20

Emergency Surgery

Emergency Surgery

How to Cite

Marron, C. D. (2010) Superficial Sepsis, Cutaneous Abscess and Necrotising Fasciitis, in Emergency Surgery (eds A. Brooks, B. A. Cotton, N. Tai and P. F. Mahoney), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444315172.ch20

Editor Information

  1. 2

    Major Trauma Pathway Lead, General Surgery Service Lead, Nottingham University Hospital NHS Trust, Nottingham, UK

  2. 3

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

  3. 4

    Department of Surgery and the Center for Translational Injury Research, The University of Texas Health Science Center, Houston, Texas, USA

  4. 5

    Defence Medical Services, Trauma Clinical Academic Unit, Royal London Hospital, Whitechapel, London, UK

  5. 6

    RCDM Birmingham Research, Park Vincent Drive, Birmingham, UK

Author Information

  1. The Royal Victoria Hospital, Belfast Trust, Belfast, UK

Publication History

  1. Published Online: 10 MAR 2010
  2. Published Print: 31 JAN 2010

ISBN Information

Print ISBN: 9781405170253

Online ISBN: 9781444315172



  • soft tissue infection;
  • superficial sepsis, cutaneous abscess and necrotising fasciitis;
  • staphylococci, grape-like clusters - coagulase-positive and coagulase-negative groups;
  • skin and soft tissue infections - commonplace;
  • Intercollegiate Surgical Curriculum Project (ISCP) syllabus requirements - early years of surgical training;
  • patients presenting with infections of skin and subcutaneous tissues - eliciting underlying cause for infection;
  • clinical features of superficial sepsis and necrotising fasciitis;
  • incision and drainage of abscess/infected collection;
  • abscess, local collection of pus - within a barrier of inflammatory reaction, pyogenic membrane;
  • infected sebaceous cyst and carbuncles


This chapter contains sections titled:

  • Introduction

  • General principles

  • Clinical presentation

  • Cutaneous abscesses

  • Infected sebaceous cyst and carbuncles

  • Further reading