A Rare Case of Fatal Necrotizing Fasciitis In An ASA Grade I Young Patient.

Abstract

Abstract This case report presents a young adult who tragically died within 24 hours of his presentation due to severe necrotising fasciitis. The patient, initially healthy, sought medical advice from his GP for a sore throat and was prescribed amoxicillin. However, three days later, they ended up in the emergency department, critically unwell, with disseminated intravascular coagulopathy and painful left thigh with mild crepitus on examination. A CT scan of the abdomen and pelvis with contrast revealed extensive necrotizing fasciitis in the left psoas muscle, left thigh, and left leg. Urgent surgical intervention, including left lower limb fasciotomy, laparotomy, and left above knee amputation, were performed in one session. The patient was then admitted to the intensive care unit, despite this immediate management, he succumbed to this rapidly progressive disease, experiencing sepsis and multiorgan failure. This case highlights the importance of recognizing the symptoms of necrotising fasciitis early, even in young patients without comorbidities.