Trauma Monthly

Trauma Monthly

Necrotizing Fasciitis of the Upper Extremity, Case Report and Review of the Literature

Authors
Shahram Nazerani
Ahmad Maghari
Mohammad Hosein Kalantar Motamedi
Jalal Vahedian Ardakani
Nikdokht Rashidian
Tina Nazerani
10.5812/traumamon.6398
Abstract
Necrotizing fasciitis is a rare, life-threatening infection most commonly seen in patients with diabetes mellitus, intravenous drug abuse, and immunocompromised conditions. The extremities are the primary sites of involvement in as many as two thirds of the cases. In a significant proportion of patients, the extremities are involved as a result of trauma, needle puncture or extravasation of drugs. The infection is usually polymicrobial. Treatment involves broad-spectrum antibiotics and multiple surgical debridements or amputation. We present a patient with necrotizing fasciitis of the upper limb and present our experience with this often lethal condition.
Keywords
Fasciitis
Necrotizing
Trauma Monthly
Volume 17, Issue 2
January and February 2012
Pages 309-312