Wong CH, Khin LW, Heng KS, Tan KC, Low CO. The LRINEC (Laboratory Risk Indicator for Necrotizing Fasciitis) score: a tool for distinguishing necrotizing fasciitis from other soft tissue infections. Crit Care Med. 2004 Jul;32(7):1535-41. PubMed PMID: 15241098.

Su YC, et al. Laboratory risk indicator for necrotizing fasciitis score and the outcomes. ANZ J. Surg. 2008; 78:968-72.

Holland MJ. Application of the Laboratory Risk Indicator in Necrotising Fasciitis (LRINEC) score to patients in a tropical tertiary referral center. Anaesth Intensive Care 2009; 37:588-92.

Fernando SM, Tran A, Cheng W, et al. Necrotizing Soft Tissue Infection: Diagnostic Accuracy of Physical Examination, Imaging, and LRINEC Score: A Systematic Review and Meta-Analysis. Ann Surg. 2018.

Chun-I Liao, Yi-Kung Lee, Yung-Cheng Su, Chin-Hsiang Chuang, Chun-Hing Wong. Validation of the laboratory risk indicator for necrotizing fasciitis (LRINEC) score for early diagnosis of necrotizing fasciitis. Tzu Chi Medical Journal - June 2012 (Vol. 24, Issue 2, Pages 73-76, DOI: 10.1016/j.tcmj.2012.02.009)

Neeki MM, Dong F, Au C, et al. Evaluating the Laboratory Risk Indicator to Differentiate Cellulitis from Necrotizing Fasciitis in the Emergency Department. West J Emerg Med. 2017;18(4):684-689.

Dr. Wong Chin Ho

LRINEC Score for Necrotizing Soft Tissue Infection

white_blood_cell_count

hemoglobin

sodium

creatinine

glucose

Screens for necrotizing soft tissue infections.

LRINEC Score

Calvin Hwang, MD, is a clinical assistant professor in the department of orthopaedic surgery at the Stanford University School of Medicine. A native Californian, Dr. Hwang grew up in San Diego and attended Stanford University before venturing off to Case Western Reserve University School of Medicine, where he received his medical degree. He completed his residency at the Stanford/Kaiser Emergency Medicine program and fellowship in sports medicine at Stanford. He is currently a team physician for the Golden State Warriors, Stanford Football and Stanford Volleyball.

Calvin Hwang, MD

The LRINEC score screens for necrotizing soft tissue infections that require emergent surgery.

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