CASE REPORT ON NECROTIZING FASCIITIS
Araveti Lokesh, Vatam Sivaranjani*, Sangaraju Vijayalakshmi, Shaik Lahoor Basha and M. Venkata Subbaiah
ABSTRACT
Necrotizing fasciitis is a necrotizing soft tissue bacterial infection of the muscle fascia and subcutaneous fat, is a rare life threatening infection commonly known as “flesh eating disease” affects 0.4 to 1 person per 100,000 per year of both sexes equally. In as many as two thirds of the cases the primary sites of involvement are extremities that threaten both the patient‟s limb and life. It is characterized by red or purple skin in the affected area, severe pain, fever and vomiting. It can be easily mistaken for cellulites. Treatment involves broad-spectrum antibiotics and multiple surgical debridements or amputation. Here we present an issue of a 67 years male patient who got admitted in the hospital with the complaints of fever, vomiting and swelling of right leg since 3 days associated with pain, tingling and prickling sensation present. He mentioned trauma to his right leg 10 days back and used home remedies as the wound was spreading to the entire leg he visited our hospital. On general examination the patient was conscious and cooperative, on physical examination swelling, erythema present and was tender and sensitive to touch. His vital signs temperature -101oF, PR-100 bpm which were found to be slightly increased and BP-110/60mmHg found to be slightly decreased later he was referred for some lab investigations which shows decreased Hb – 11gm/dl and increased WBC-13000 cells/cumm, N -80% and ESR – 20Hr/mm. He was diagnosed with necrotizing fasciitis to treat this intravenous antibiotic therapy and surgically radical debridement was done.
Keywords: Necrotizing fasciitis, Antibiotic therapy, radical debridement.
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