Necrotizing fasciitis

Clinic

• NF, also known as flesh-eating disease, is a Skin disease
• It is a bacterial gangrenous infection of superficial soft tissue
• Symptoms usually include red or purple skin in the affected area, severe pain, fever, and vomiting
• The most common affected areas are limbs and perineum.

Signs / Symptoms

• Fever
• Swelling
• Excessive pain
• It starts with Cellulitis / Abscess like image but in the following days Necrotizing changes occur

Other signs are:

• Formation of bullae
• Bleeding
• Skin turning from red to purple and black due to thrombosis of blood vessels)
• Presence of gas in tissues
• Reduced or absent sensation over the skin due to underlying nerves necrosis
• Rapid progression to shock

Necrotizing changes affecting the groin are known as Fournier gangrene.[2]

Cause

Bacterial

• Staphylococcus aureus
• Streptococcus pyogenes
• Enterococci
• Escherichia coli
• Pseudomonas aeruginosa
• Bacteroides
• Clostridium species
• Clostridium perfringens
• Clostridium septicum
• Clostridium sordellii