Hyperbaric oxygen therapy for vulvar necrotizing fasciitis

We report the use of hyperbaric oxygen (HBO) therapy to treat vulvar necrotizing fasciitis (NF), a complication of using hygenic ped for abnormal uterine bleeding. Our patient was 38year-old, nulliparous, not married and virgin. She had a history of abnormal uterine bleeding for 2 months. When she came to our clinic her complaint went on and biochemical tests, ultrasonography and endometrial biopsy was made. The result of the pathology was simplex endometrial hyperplasia without atipia. In vulvar inspection the patient had a mild ulcerative lesion which was specially placed at the right side of the vulva markable, including right labium majus and left labium minus and a little bit clitoral region. The classic symptoms of NF were seen, such as local pain, smooth shiny skin and partial skin darkenings. She had a medical and local surgical treatment for 2 weeks, after we were not successful we reffered the patient to Hyperbaric Oxygen Therapy Center. After totally 25 sessions of therapy the vulvar lesions improved dramatically. This case showed that HBO is a successful therapy modality for vulvar necrotizing fasciitis due to deteriorate flora of