title: Citric acid treatment of necrotizing fasciitis: a report of two cases.
abstract: Necrotizing fasciitis is a destructive invasive infection of skin, subcutaneous tissue and deep fascia, with relative sparing of muscle. It is a life-threatening condition. Here we report two cases of necrotizing fasciitis, which were not responding to conventional antibiotic therapy and local wound care after aggressive debridement. These two cases were treated simply by local application of 3% citric acid. Thus, citric acid was used to compliment wound management following surgical treatment with antibiotics.
authors.affiliation: Research & Development, MIMSR Medical College & YC Rural Hospital, Latur, India. dr bsnagoba@yahoo.com
authors.forename: Basavraj S
authors.initials: BS
authors.lastname: Nagoba
authors.forename: Rajan C
authors.initials: RC
authors.lastname: Gandhi
authors.forename: Bharat J
authors.initials: BJ
authors.lastname: Wadher
authors.forename: Sanjay P
authors.initials: SP
authors.lastname: Gandhi
authors.forename: Sohan P
authors.initials: SP
authors.lastname: Selkar
mesh_terms: D000279:Administration, Cutaneous; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019343:Citric Acid / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D003646:Debridement; D042241:Early Diagnosis; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods*; D017592:Skin Care / Q000379:methods*; D016038:Skin Transplantation; D016896:Treatment Outcome; D014945:Wound Healing
chemical_list: D000900:Anti-Bacterial Agents; D019343:Citric Acid