Abstract
Necrotizing fasciitis is an uncommon but a potentially fatal condition and can affect any part of the body. Most patients have pre-existing conditions that render them susceptible to infection, although etiology is unclear. Diagnosis is primarily clinical and is often delayed because of the unfamiliarity of the condition among clinicians. Management consists of immediate resuscitation, early surgical debridement, and administration of broad spectrum intravenous antibiotics. We report a case of a 70 year old woman who presented with a painful erythematous rash, was admitted as a case of cellulitis, later developed worsening of symptoms and septic shock, and was diagnosed as necrotizing fasciitis.
Highlights
Necrotizing fasciitis is an uncommon disease that results in morbidity and mortality if not treated early
We report a case of necrotizing fasciitis in a diabetic patient who presented with redness and pain of right thigh
There was worsening of the lower extremity pain and erythema (Figures 1, 2, 3, and 4), with development of disseminated intravascular coagulation (DIC) and septic shock
Summary
Necrotizing fasciitis is an uncommon disease that results in morbidity and mortality if not treated early. Most patients who develop necrotizing fasciitis have preexisting conditions that render them susceptible to infection. Diabetes mellitus, chronic renal failure, peripheral vascular disease, and drug misuse seem to be risk factors [1]. We report a case of necrotizing fasciitis in a diabetic patient who presented with redness and pain of right thigh
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