title: Fatal necrotizing fasciitis following two suicide attempts with petroleum oil injection.
abstract: OBJECTIVE
  Necrotizing fasciitis is an aggressively progressing complication of the skin and soft tissue infections. It has dramatic course and often leads to patient's death.
  
  
  METHODS
  In our research, we present the casuistic case concerning double suicide attempt with petroleum oil injection, complicated by the necrotizing fasciitis, patient was with deliberately withheld mental disorders.
  
  
  RESULTS
  During the first suicide attempt, the oil substance was injected into the left cubital fossa and left toes areas, what lead to amputation of the upper left limb above the cubitial fossa and the left toes. Afterward, patient gradually recovered and survived. Two years later, another suicide attempt took place with the same substance: a 27-year-old man injected the petroleum oil into the right supraclavicular area. That affected a necrosis penetrating into the mediastinum and the patient died.
  
  
  CONCLUSIONS
  To our knowledge, such case of the necrotizing fasciitis has not been previously reported. The mechanism of derivatives of oil influence on tissues is not investigated yet; therefore, treatment method is uncertain and sometimes ineffective.
authors.affiliation: First Department of General and Endocrinological Surgery, Medical University of Bialystok, Bialystok, Poland. klchirog@umwb.edu.pl
authors.forename: H Razak
authors.initials: HR
authors.lastname: Hady
authors.forename: A
authors.initials: A
authors.lastname: Mikucka
authors.forename: P
authors.initials: P
authors.lastname: Gołaszewski
authors.forename: L
authors.initials: L
authors.lastname: Trochimowicz
authors.forename: Z
authors.initials: Z
authors.lastname: Puchalski
authors.forename: J
authors.initials: J
authors.lastname: Dadan
mesh_terms: D000328:Adult; D018450:Disease Progression; D019115:Fasciitis, Necrotizing / Q000139:chemically induced* / Q000473:pathology / Q000601:surgery*; D017809:Fatal Outcome; D006801:Humans; D007273:Injections, Intramuscular; D035002:Lower Extremity; D008297:Male; D010578:Petroleum / Q000506:poisoning*; D012720:Severity of Illness Index; D018461:Soft Tissue Infections / Q000139:chemically induced* / Q000382:microbiology / Q000601:surgery*; D013406:Suicide, Attempted / Q000706:statistics & numerical data*; D034941:Upper Extremity
chemical_list: D010578:Petroleum