title: Necrotising soft tissue infection following mastectomy.
abstract: Necrotising fasciitis is a rare but rapidly progressive soft tissue disease which can lead to extensive necrosis, systemic sepsis and death. Including this case, only 7 other cases have been reported in the world literature with only 2 others affecting the patient post mastectomy. This 59 year old Caucasian lady presented with severe soft tissue infection soon after mastectomy, which was successfully treated with a combination of debridement, triangulation, VAC© dressing and skin grafting. Necrotising soft tissue infections following mastectomy are rapidly progressive and potentially extremely serious. It is essential that a high index of clinical suspicion is maintained together with prompt aggressive treatment in a multidisciplinary environment to prevent worsening physical and psychological sequelae.
authors.affiliation: The Royal Surrey County Hospital, Guildford, UK.
authors.forename: A
authors.initials: A
authors.lastname: Subramanian
authors.affiliation: The Royal Surrey County Hospital, Guildford, UK.
authors.forename: G
authors.initials: G
authors.lastname: Thomas
authors.affiliation: The Royal Surrey County Hospital, Guildford, UK.
authors.forename: A
authors.initials: A
authors.lastname: Lawn
authors.affiliation: The Royal Surrey County Hospital, Guildford, UK.
authors.forename: P
authors.initials: P
authors.lastname: Jackson
authors.affiliation: The Royal Surrey County Hospital, Guildford, UK.
authors.forename: Gt
authors.initials: G
authors.lastname: Layer