CATASTROPHIC CONSEQUENCES OF A TRIVIAL TRAUMA IN AN IMMUNOCOMPETENT PATIENT: A CASE REPORT

Necrotising fasciitis (NF) is an uncommon but fulminant soft tissue infection characterized by rapidly spreading necrosis of fascia and subcutaneous tissue, often accompanied by severe systemic toxicity. It has been historically described as -flesh-eating disease, and despite advances in critical care and surgical management,it remains associated with significant morbidity and mortality, with reported mortality rates ranging from 20% to over 40% in some cohorts.1,2The disease can be polymicrobial (Type I), typically involving aerobic and anaerobic organisms, or monomicrobial (TypeII),most frequently due to Streptoc occus pyogenes or Staphylococcus aureus, including methicillin resistant strains.3 Risk factors include diabetes mellitus, peripheral vascular disease, immunosuppression, chronic renal failure, obesity, non ambulatory patient and recent trauma or surgical wounds.4Howeve r, necrotising fasciitis has also been documented in patients without identifiable risk factors, making early clinical suspicion crucial 5.