• Gummalla Prema Florence
• Aleena Roy

Narcotizing fasciitis is a rapidly progressive and life-threatening soft tissue infection with significant risks of major amputation and mortality rates ranging from 20% to 80%. This disease affects approximately 0.4 out of every 100,000 individuals. Timely surgical resection of necrotic tissue is critical in determining patient prognosis. The patient’s chief complaints often mimic less severe skin infections, such as erysipelas and cellulitis, posing challenges for rapid surgical management. Definitive diagnosis typically necessitates surgical exploration and debridement, with delays in recognition or intervention associated with severe outcomes, including sepsis, amputation, and multiple organ failure. Point-of-care ultrasound has emerged as a valuable diagnostic tool, capable of early detection of hallmark features such as subcutaneous thickening, gas, and perifascial fluid collections. Complementary radiologic modalities, including plain radiographs, computed tomography (CT), and magnetic resonance imaging (MRI), along with Laboratory investigations, physical examination and wound measurement can further substantiate the diagnosis of necrotizing fasciitis. Immediate management should encompass surgical debridement, broad-spectrum intravenous antibiotics, aggressive fluid and electrolyte resuscitation, and effective pain control. Adjunctive therapies, such as intravenous Fevastin, Tramadol, Metronidazole, Piperacillin, and intravenous immunoglobulins, may provide additional benefits in the comprehensive treatment of this severe condition

Fasciitis, Ultrasound, Cellulites, Debridement, Ulcers, Erysipelas

"Dissection and Diagnosis: The Challenge of Rapidly Progressive Necrotizing Fasciitis in the Right Lower Leg: Case Report", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.11, Issue 10, page no.e708-e711, October-2024, Available :http://www.jetir.org/papers/JETIR2410475.pdf

"Dissection and Diagnosis: The Challenge of Rapidly Progressive Necrotizing Fasciitis in the Right Lower Leg: Case Report", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.11, Issue 10, page no. ppe708-e711, October-2024, Available at : http://www.jetir.org/papers/JETIR2410475.pdf