<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2795-5001</journal-id>
<journal-title><![CDATA[Portuguese Journal of Dermatology and Venereology]]></journal-title>
<abbrev-journal-title><![CDATA[Port J Dermatol Venereol.]]></abbrev-journal-title>
<issn>2795-5001</issn>
<publisher>
<publisher-name><![CDATA[Permanyer Publications]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2795-50012022000200118</article-id>
<article-id pub-id-type="doi">10.24875/pjdv.m22000028</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Type II necrotizing fasciitis]]></article-title>
<article-title xml:lang="pt"><![CDATA[Fasceíte necrotizante tipo II]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martinez]]></surname>
<given-names><![CDATA[Isabel Bramão]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pinho]]></surname>
<given-names><![CDATA[André de Castro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Faculdade de Medicina da Universidade de Coimbra  ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Hospitalar e Universitário De Coimbra Serviço de Dermatologia ]]></institution>
<addr-line><![CDATA[Coimbra ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>80</volume>
<numero>2</numero>
<fpage>118</fpage>
<lpage>126</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2795-50012022000200118&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2795-50012022000200118&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2795-50012022000200118&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Necrotizing fasciitis integrates a series of necrotizing soft tissue infections. Type II necrotizing fasciitis (NF) is due to an infection by group A Streptococcus, which can be associated with Staphylococcus aureus, and may evolve to toxic shock syndrome, with high morbidity and mortality negatively influenced by delay in diagnosis and institution of appropriate surgical therapy. At an early stage, the clinical presentation may not be explicit; therefore, a high index of suspicion is essential in order to diagnose, initiate antibiotic therapy and, most importantly, perform surgical debridement in a timely manner, which is crucial for optimizing the patient's prognosis. The purpose of this article is to execute a narrative review about type II NF, namely in terms of its clinical manifestations, diagnostic and therapeutic approach, through the analysis of recent information on the subject.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A fasceíte necrotizante integra um conjunto de infeções necrotizantes da pele e tecidos moles. A fasceíte Necrotizante (FN) do tipo II surge devido a infeção por Streptococcus do grupo A, que pode associar-se a Staphylococcus aureus, e pode evoluir para síndrome do choque tóxico, com elevada morbimortalidade influenciada negativamente pelo atraso no diagnóstico e instituição de terapêutica cirúrgica adequada. Numa fase inicial, a apresentação clínica pode não ser explícita e, por isso, é essencial um elevado índice de suspeição, de modo a diagnosticar, iniciar a terapêutica antibiótica e, principalmente, efetuar um desbridamento cirúrgico em tempo útil, fulcral para a otimização do prognóstico do doente. O propósito deste artigo é efetuar uma revisão narrativa acerca da FN do tipo II, nomeadamente quanto às suas manifestações clínicas, abordagem diagnóstica e terapêutica, através da análise de informação recente relativa à temática.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Necrotizing fasciitis]]></kwd>
<kwd lng="en"><![CDATA[Necrotizing soft tissue infections]]></kwd>
<kwd lng="en"><![CDATA[Streptococcal toxic shock syndrome]]></kwd>
<kwd lng="pt"><![CDATA[Fasceíte necrotizante]]></kwd>
<kwd lng="pt"><![CDATA[Infeções necrotizantes da pele e tecidos moles]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome do choque tóxico estreptocócico]]></kwd>
</kwd-group>
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