NECROTIZING FASCIITIS IN A 36-YEAR-OLD MALE PATIENT: CASE REPORT
Keywords:
Necrotizing fasciitis; soft tissue infection; surgical debridement; sepsis; case reportAbstract
DOI: https://doi.org/10.46296/gt.v9i17.0351
Abstract
Necrotizing fasciitis is a rapidly progressive bacterial infection that affects the deep fascia and subcutaneous tissue, characterized by extensive tissue necrosis and high mortality. We present the case of a 36-year-old male patient who presented to the emergency department with severe lower extremity pain, fever, and rapidly progressing local inflammatory signs. Clinical suspicion, supported by laboratory and imaging studies, allowed for the early diagnosis of necrotizing fasciitis. Urgent surgical debridement was performed, along with broad-spectrum antibiotic therapy and multidisciplinary management. The patient had a favorable clinical course after multiple debridements and intensive treatment. This report highlights the importance of early diagnosis and timely surgical management to improve the prognosis of this potentially fatal condition.
Keywords: Necrotizing fasciitis; soft tissue infection; surgical debridement; sepsis; case report.
Downloads
References
Stevens DL, Bryant AE. Necrotizing soft-tissue infections. N Engl J Med. 2017;377:2253-2265.
Anaya DA, Dellinger EP. Necrotizing soft-tissue infection: diagnosis and management. Clin Infect Dis. 2007;44:705-710.
Wong CH, Chang HC, Pasupathy S, et al. Necrotizing fasciitis: clinical presentation and determinants of mortality. J Bone Joint Surg Am. 2003;85:1454-1460.
Bonne SL, Kadri SS. Evaluation and management of necrotizing soft tissue infections. Infect Dis Clin North Am. 2017;31:497-511.
McHenry CR, Piotrowski JJ, Petrinic D. Determinants of mortality in necrotizing soft tissue infections. Ann Surg. 1995;221:558-563.
Hasham S, Matteucci P, Stanley PR. Necrotising fasciitis. BMJ. 2005;330:830-833.
Elliott D, Kufera JA, Myers RA. Necrotizing soft tissue infections. Am J Surg. 2000;179:361-366.
Misiakos EP, Bagias G, Patapis P. Current concepts in the management of necrotizing fasciitis. Front Surg. 2014;1:36.
Sartelli M, Guirao X, Hardcastle TC. WSES guidelines for skin and soft tissue infections. World J Emerg Surg. 2018;13:58.
Stevens DL. Streptococcal toxic shock syndrome. Clin Infect Dis. 1995;20:S157-S161.
Young MH, Aronoff DM, Engleberg NC. Necrotizing fasciitis: pathogenesis and treatment. Expert Rev Anti Infect Ther. 2005;3:279-294.
Headley AJ. Necrotizing soft tissue infections. Surg Clin North Am. 2003;83:1215-1234.
Eke N. Fournier’s gangrene: review of 1726 cases. Br J Surg. 2000;87:718-728.
Wall DB, Klein SR, Black S. A simple model to help distinguish necrotizing fasciitis. J Am Coll Surg. 2000;191:227-231.
Wong CH, Khin LW. LRINEC score for necrotizing fasciitis. Crit Care Med. 2004;32:1535-1541.
May AK, Stafford RE, Bulger EM. Treatment of complicated skin infections. Surg Infect. 2009;10:467-499.
Audureau E, Hua C. Mortality of necrotizing fasciitis. Intensive Care Med. 2017;43:890-892.
Goh T, Goh LG, Ang CH. Early diagnosis of necrotizing fasciitis. Br J Surg. 2014;101:e119-e125.
Angoules AG, Kontakis G. Necrotizing fasciitis of upper extremity. Hand (N Y). 2007;2:12-17.
Singh G, Sinha SK. Necrotizing infections of soft tissues. J Emerg Trauma Shock. 2012;5:142-149.
Wilson B. Necrotizing fasciitis. Am Surg. 1952;18:416-431.
Cheng NC, Tai HC. Necrotizing fasciitis: clinical features. Plast Reconstr Surg. 2015;135:122e-130e.
Yilmazlar T, Ozturk E. Fournier’s gangrene: review of outcomes. Ulus Travma Acil Cerrahi Derg. 2014;20:333-337.
Brook I. Microbiology of necrotizing fasciitis. J Med Microbiol. 2007;56:891-895.
Centers for Disease Control and Prevention. Necrotizing fasciitis: clinical guidance. 2023.
Published
How to Cite
Issue
Section
Copyright (c) 2026 GESTAR Arbitrated Scientific Journal in Health Research. ISSN: 2737-6273.

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
















