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Necrotizing Fasciitis

A life-threatening infection that rapidly progresses, destroying fascia and soft tissue.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Internal Medicine department. Book Appointment →

What is Necrotizing Fasciitis?

Necrotizing fasciitis is an infection that rapidly destroys subcutaneous soft tissues and fascia, usually polymicrobial (Type I) or monomicrobial (Type II, especially Group A streptococci).

Early findings are disproportionately severe pain following a small ulcer or trauma. Pain disproportionate to the clinical appearance and systemic toxicity are characteristic.

It is a dermatologic and surgical emergency requiring urgent surgical debridement and broad-spectrum antibiotic treatment.

Symptoms

Severe pain disproportionate to the clinical findings
Rapidly progressing redness and swelling
Fever, chills, and systemic toxicity
Purple-gray discoloration and bullae on the skin
Crepitus (in gas-producing organisms)
Confusion and hypotension
Progressive necrosis of subcutaneous tissue

Risk Factors

Diabetes
Obesity
Peripheral vascular disease
Immunosuppression
Trauma, surgical wounds, or insect bites
Intravenous drug use
Alcoholism and liver disease

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When severe pain and rapidly spreading redness occur on the skin (emergency)
  • When high fever and altered consciousness develop after a small wound
  • When purple spots and bullae appear on the skin
  • When 'crackling' sensation is detected under the skin
  • If the general condition is rapidly deteriorating

Treatment Methods

01
Urgent and broad surgical debridement
02
Broad-spectrum IV antibiotics
03
Fluid resuscitation and intensive care
04
Addition of clindamycin (suppresses toxin production)
05
Hyperbaric oxygen therapy (selected cases)
06
Reconstructive surgery (after recovery)

Which Department to Visit?

You can visit our Enfeksiyon Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Enfeksiyon Hastalıkları Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.