Necrotizing fasciitis A case report.

Abstract

Introduction: Necrotizing fasciitis (NF) is a rapidly progressive bacterial infection of the skin and soft tissues associated with destruction and necrosis of the fascia. It is usually associated with significant systemic toxicity and affects one per 100,000 inhabitants. Its prognosis depends on early diagnosis and immediate aggressive treatment.

Case report: A 64-year-old man with no pathological history and a two-week history of infection located in the first toe of the right foot with signs of phlogosis, fever, pain, and delirium.

Diagnostic workshop: In the first examination reports, leukocytosis and elevated acute phase reactants were reported without compromising liver or kidney function.

Evolution: With the diagnosis of necrotizing fasciitis, surgery was performed, and the finger was amputated, extending to the dorsal region of the finger. An autograft and multiple healings were needed, and after 120 days of treatment, recovery of the affected tissues was achieved.

Conclusions: FN is a pathology that is increasingly common and is associated with significant morbidity and mortality, given its rapid course and extensive tissue destruction.