<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Necrotizing fasciitis is a soft tissue, life-threatening infection with a fulminant and often fatal course. Early diagnosis is usually delayed as the onset of the disease is often masked in the form of erysipelas or cellulite. The condition is characterized by necrosis of the skin, subcutaneous tissue and underlying fascia. We describe a case of a 42-year-old man with a complaint of erythema, fever and severe pain in his right leg 4 days before hospitalization. The patient was admitted and treated with a diagnosis of erysipelas. A few hours after admission, in connection with a drastic deterioration in the general condition and dermatological status, he was transferred to a purulentseptic ward with a fulminant picture of necrotizing fasciitis. Debridement and fasciotomy were performed successfully and timely. Good prognosis and survival in patients with NF correlate directly with the complex of measures. Appropriate antibiotics and intensive general support avoid massive systemic diffusion. Early and adequate surgical debridement and fasciotomy are associated with improved survival.</p></abstract>

Necrotizing fasciitis is a soft tissue, life-threatening infection with a fulminant and often fatal course. Early diagnosis is usually delayed as the onset of the disease is often masked in the form of erysipelas or cellulite. The condition is characterized by necrosis of the skin, subcutaneous tissue and underlying fascia. We describe a case of a 42-year-old man with a complaint of erythema, fever and severe pain in his right leg 4 days before hospitalization. The patient was admitted and treated with a diagnosis of erysipelas. A few hours after admission, in connection with a drastic deterioration in the general condition and dermatological status, he was transferred to a purulentseptic ward with a fulminant picture of necrotizing fasciitis. Debridement and fasciotomy were performed successfully and timely. Good prognosis and survival in patients with NF correlate directly with the complex of measures. Appropriate antibiotics and intensive general support avoid massive systemic diffusion. Early and adequate surgical debridement and fasciotomy are associated with improved survival.

Necrotizing Fasciitis: a Clinical Case and a Review of the Literature

University Multi-Profile Hospital for Active Treatment and Emergency Medicine “N. I. Pirogov”

Department of Infectious Diseases, Parasitology and Dermatovenereology

Department of Dermatology and Venereology

Serbian Journal of Dermatology and Venereology

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

{"article-title":"Necrotizing Fasciitis: a Clinical Case and a Review of the Literature"}

Necrotizing fasciitis is a soft tissue, life-threatening infection with a fulminant and often fatal course. Early diagnosis is usually delayed as the onset of...

Necrotizing Fasciitis: a Clinical Case and a Review of the Literature

Published Online: Apr 27, 2021

Page range: 141 - 146

Received: Feb 12, 2020

Accepted: Dec 24, 2020

DOI: https://doi.org/10.2478/sjdv-2020-0017

Keywords
Fasciitis, Necrotizing, Soft Tissue Infections, Diagnosis, Signs and Symptoms, Debridement, Fasciotomy, Treatment Outcome, Antibacterial Agents

© 2020 Ivanka Danchova Temelkova et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Necrotizing Fasciitis: a Clinical Case and a Review of the Literature

Published Online: Apr 27, 2021

Page range: 141 - 146

Received: Feb 12, 2020

Accepted: Dec 24, 2020

DOI: https://doi.org/10.2478/sjdv-2020-0017

KeywordsFasciitis, Necrotizing, Soft Tissue Infections, Diagnosis, Signs and Symptoms, Debridement, Fasciotomy, Treatment Outcome, Antibacterial Agents

© 2020 Ivanka Danchova Temelkova et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
Fasciitis, Necrotizing, Soft Tissue Infections, Diagnosis, Signs and Symptoms, Debridement, Fasciotomy, Treatment Outcome, Antibacterial Agents