INTRODUCTION Cervical necrotizing fasciitis is an aggressive infection with high morbidity and mortality. We present a case of cervical necrotizing fasciitis and descending mediastinitis in a healthy young man, caused by unilateral tonsillitis with a successful outcome without aggressive debridement. CASE PRESENTATION A 41-year-old man was admitted to our unit with a diagnosis of severe acute...

OBJECTIVES Necrotizing fasciitis (NF) is rare but life threatening soft tissue infection characterized by a necrotizing process of the subcutaneous tissues and fascial planes. The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score has been verified as a useful diagnostic tool for detecting necrotizing fasciitis. A certain LRINEC score might also be associated with mortality. The...

BACKGROUND Necrotizing fasciitis is a life-threatening infection requiring urgent surgical and medical therapy. Staphylococcus aureus has been a very uncommon cause of necrotizing fasciitis, but we have recently noted an alarming number of these infections caused by community-associated methicillin-resistant S. aureus (MRSA). METHODS We reviewed the records of 843 patients whose wound culture...

BACKGROUND Necrotizing fasciitis is characterized by a fulminant destruction of the soft tissue with an alarmingly high mortality rate. One of the main reasons for the continued high mortality is due to the challenge to punctual recognize and diagnose this disease, as specific cutaneous signs can vary or even be missing early in its evolution - especially in case of simultaneous first manifesta...

Necrotizing fasciitis (NF) is a rare infection that characterized by rapidly progressing necrosis into the superficial and deep tissues. NF can result in serious morbidity mortality as life-threatening condition. Early diagnosis one of most important factors reducing mortality. Therefore, we aimed to describe case severe necrotizing left arm after tetanus vaccination administration discuss bene...

Figure 1. (a) Left medial thigh showing discoloration and swelling. Maximal pain to palpation was in the centrally marked area, but pain could be elicited as far back as the dotted lines. (b) Left medial thigh following surgical debridement down to viable fat, fascia, and muscle. DESCRIPTION A 28-year-old woman with a raised body mass index presented feeling unwell with a 16-hour history of inc...

Necrotizing fasciitis is an uncommon but life-threatening infection primarily involving the superficial fascia. Note the blue-gray color change of the vulvar skin lateral to areas of ulceration (A), The superficial fascia of the vulva is in continuity with that of the anterior abdominal wall. This incision reveals normal-appearing subcutaneous tissue in its superior aspect compared to the dull ...

Streptococcus pyogenes can cause a variety of diseases in immunocompetent individuals, from pharyngotonsillitis to life-threatening invasive diseases, such as streptococcal toxic shock syndrome, and rapidly progressing deep-tissue infections, such as necrotizing fasciitis. Necrotizing fasciitis is often seen in combination with streptococcal toxic shock syndrome, which further increases morbidi...

Monomicrobial necrotizing fasciitis (type II) is typically caused by group A streptococcus alone or in combination with Staphylococcus aureus. Escherichia coli has been isolated from polymicrobial or Fournier's gangrene but has rarely been reported in monomicrobial necrotizing fasciitis. We describe the clinical characteristics and outcomes of seven cases of monomicrobial E. coli necrotizing fa...

Necrotizing fasciitis is a rare, but potentially fatal bacterial infection of the soft tissues. Establishing the diagnosis at the early stages of the disease remains the greatest challenge. We report a case of necrotizing fasciitis involving the upper extremity. Sonography revealed subcutaneous emphysema spreading along the deep fascia, swelling, and increased echogenicity of the overlying fatt...