International Journal of Diabetes & its Complications
ISSN: 2573-8895 | DOI: 10.64030/2573-8895
Govindbhai Jashvantlal Purohit and Yogesh Purohit
Background: Necrotizing fasciitis (NF) is a rapidly progressive, life-threatening soft-tissue infection associated with high morbidity and mortality despite advances in critical care and antimicrobial therapy. Early diagnosis remains challenging due to atypical presentations, particularly following trauma or surgical procedures.
Methods: We present a small case series of four patients who developed necrotizing fasciitis following trauma or surgical intervention. Clinical presentation, diagnostic workup, Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score, management strategies, and outcomes were analysed. All patients underwent aggressive surgical debridement, broad-spectrum antibiotics, and multidisciplinary care.
Results: Four patients aged 18–30 years developed necrotizing fasciitis following polytrauma (n=2), minor trauma (n=1), and postoperative clavicle fixation (n=1). LRINEC scores ranged from 7 to 9, indicating moderate to high risk. All patients underwent urgent radical debridement with repeated procedures until healthy tissue was achieved. Split-thickness skin grafting was performed for definitive wound coverage. All patients survived with complete wound healing and satisfactory functional outcomes.
Conclusion: Necrotizing fasciitis can occur following minor trauma or routine orthopaedic procedures even in healthy individuals. Early clinical suspicion, prompt surgical intervention, repeated debridement, and multidisciplinary management are critical for limb salvage and survival.