title: Necrotizing fasciitis of the upper extremity, case report and review of the literature.
abstract: Necrotizing fasciitis is a rare, life-threatening infection most commonly seen in patients with diabetes mellitus, intravenous drug abuse, and immunocompromised conditions. The extremities are the primary sites of involvement in as many as two thirds of the cases. In a significant proportion of patients, the extremities are involved as a result of trauma, needle puncture or extravasation of drugs. The infection is usually polymicrobial. Treatment involves broad-spectrum antibiotics and multiple surgical debridements or amputation. We present a patient with necrotizing fasciitis of the upper limb and present our experience with this often lethal condition.
authors.affiliation: Department of Surgery, Tehran University of Medical Sciences, Firuzgar Medical Center, Tehran, IR Iran.
authors.forename: Shahram
authors.initials: S
authors.lastname: Nazerani
authors.affiliation: Department of Reconstructive Surgeries, Mehr General Hospital, Tehran, IR Iran.
authors.forename: Ahmad
authors.initials: A
authors.lastname: Maghari
authors.affiliation: Trauma Research Center, Baqiyatallah University of Medical sciences, Tehran, IR Iran.
authors.forename: Mohammad Hosein
authors.initials: MH
authors.lastname: Kalantar Motamedi
authors.affiliation: Department of Surgery, Tehran University of Medical Sciences, Firuzgar Medical Center, Tehran, IR Iran.
authors.forename: Jalal
authors.initials: J
authors.lastname: Vahedian Ardakani
authors.affiliation: Department of Surgery, Tehran University of Medical Sciences, Firuzgar Medical Center, Tehran, IR Iran.
authors.forename: Nikdokht
authors.initials: N
authors.lastname: Rashidian
authors.affiliation: Department of Surgery, Tehran University of Medical Sciences, Firuzgar Medical Center, Tehran, IR Iran.
authors.forename: Tina
authors.initials: T
authors.lastname: Nazerani
keywords: Fasciitis; Necrotizing