Zeitschrift für Trauma und Behandlung

Group a β-haemolytic Streptococcal Necrotizing Fasciitis of the Lower Limb: A Case Report.

Abstract

Tomas B. O’Neill, Jurgen Mulsow, Eilis Fitzgerald, Cassie McVeigh, Felix Ofori-Kuma, Sean Carroll and Tom O’Reilly

We present an illustrated case of necrotising fasciitis of the lower limb and lower anterior abdominal wall in a fifty year old male who had sustained a superficial abrasion to the ankle on the affected limb whilst working in a sewer two weeks previously. Extensive and aggressive surgical debridement totaling 18 percent total body surface area was performed in a peripheral hospital setting. Once stabilized the patient was transferred to a tertiary referral centre for early further assessment and management by the plastic surgery team. Three separate split skin grafting procedures were performed and the patient was discharged on the 51st day of admission.