WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Kirtick Poovendran, Nalin Aaditya Dharmalingam, Adithya Krishna Kezhuppilly Ramakrishnan

ABSTRACT

BACKGROUND: Necrotizing fasciitis is a potentially fatal infection of the skin, subcutaneous tissue, and fascial planes that progresses quickly. Because of its high risk of amputation and death, early surgical intervention is crucial. CASE Presentation: For one day, a 65-year-old man complained of decreased urine flow, watery discharge, and soreness in his right lower limb. Other than a history of varicose vein surgery three years prior, he had no serious comorbidities, fever, or systemic symptoms. Local examination showed palpable peripheral pulses along with blisters, pain, and edema from the foot to below the knee. Following infection management, the patient had split-thickness skin grafting (SSG) and several debridements. Piperacillin-tazobactam and clindamycin, two broad-spectrum intravenous antibiotics, were empirically given and sustained in accordance with clinical response. Management and Result: A slow recovery resulted from multidisciplinary therapy that included teams from cardiology, nephrology, vascular, and surgery. The patient had stable hemodynamics, adequate transplant uptake, and no infection recurrence. After 52 days in the hospital, he was released in better health. Conclusion this case shows that even in patients lacking traditional risk factors, necrotizing fasciitis can manifest atypically. Even in senior patients, excellent results and limb preservation can be achieved via rapid surgical debridement, coordinated multidisciplinary therapy, and early diagnosis.