title: Soft tissue injury of the lower extremity complicated by type II necrotising fasciitis highlighting the need for astute clinical practices and proper treatment.
abstract: Necrotising fasciitis (NF) is a soft tissue bacterial-derived infection characterised clinically by fulminant tissue destruction of the poorly blood-supplied muscle fascia and overlying subcutaneous fat. Although these infections first appear as minor superficial manifestations, they are capricious in nature and often lead to sepsis, organ failure and high mortality. We report a case of type II necrotising fasciitis in a 39-year-old Caucasian female patient who presented to the emergency department with cellulitis of her right foot and lower leg that rapidly developed into tissue necrosis. The patient course is of unique interest due to progressive history over a 104 days time frame with complications following surgical treatments and outpatient follow-up. We highlight the importance of early detection and pertinent clinical awareness from a wide range of medical specialties that were involved in this case, and how this process is critical, in order to properly diagnose and treat NF-derived tissue infections.
authors: Universidad Autonoma De Guadalajara Medical School, Guadalajara, Mexico.
authors: Alexander
authors: A
authors: Sabre
authors: Universidad Autonoma De Guadalajara Medical School, Guadalajara, Mexico.
authors: Carlos G
authors: CG
authors: Robles
authors: University of Medicine and Pharmacy Iuliu, Cluj-Napoca, Romania.
authors: Patricia
authors: P
authors: Krisar-White
authors: Department of Internal Medicine, Scottsdale Healthcare Shea Medical Center, Scottsdale, Arizona, USA.
authors: Laurie
authors: L
authors: Farricielli
mesh_terms: D000328:Adult; D002481:Cellulitis / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D019115:Fasciitis, Necrotizing / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000293:injuries* / Q000473:pathology; D009336:Necrosis / Q000175:diagnosis / Q000209:etiology; D018461:Soft Tissue Infections / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D017695:Soft Tissue Injuries / Q000150:complications*