Life-Threatening Fasciitis Following Trivial Trauma

Word Count : 2500

Objectives to cover: 

  • Introduction: Overview of necrotizing fasciitis as a rapidly progressing, life-threatening soft tissue infection.

  • Etiology: Common causative organisms including Group A Streptococcus and polymicrobial infections.

  • Risk Factors: Diabetes, immunosuppression, vascular disease, and even minor skin trauma.

  • Pathophysiology: Rapid spread along fascial planes causing tissue ischemia and necrosis.

  • Clinical Presentation: Severe pain disproportionate to injury, swelling, erythema, and systemic toxicity.

  • Diagnostic Approach: Importance of early clinical suspicion, imaging, and laboratory indicators.

  • Management: Emergency surgical debridement, broad-spectrum antibiotics, and supportive care.

  • Complications: Septic shock, multi-organ failure, and high mortality if treatment is delayed.

  • Conclusion: Early recognition and prompt aggressive treatment are critical to improve survival.

Reference: IEEE