Life or Death after Necrotising fasciitis. The importance of Early Diagnosis and Treatment

Abstract

Necrotizing fasciitis is defined as a rapidly progressive infection of the skin and soft tissue that usually involves severe systemic toxicity. The incidence of this infection has increased in the last few decades and is estimated to affect one out of every 100000 habitants in western European countries. This disease is the most serious form of skin and soft tissue infection, due to the rapid destruction and necrosis of the fascia and subcutaneous fat, and the development of shock and multiorgan failure of one third of the patients. The diagnosis and early treatment with aggressive surgical debridement, broad-spectrum antibiotic therapy and hemodynamic support measures are essential3. This is a surgical emergency. We can show two necrotising fasciitis cases from different locations and different outcomes, which highlights the importance of the anatomical area affected by the infection for the control and eradication of the focal point. And the importance of early diagnostic suspicions and early and aggressive actions to eradicate the infection. Keywords: Necrotising fasciitis; Surgical emergency; Streptococcus pyogenes; Septic shock;