Understanding Necrotising Fasciitis

A Patient's Guide to the Severe Soft Tissue Infection

General Surgery

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Last updated: Mar 24, 2025

What Is Necrotising Fasciitis?

Necrotising fasciitis is a rare but severe bacterial infection that affects the soft tissues and fascia (the connective tissue that surrounds muscles, nerves, and blood vessels). Often called 'flesh-eating disease,' it rapidly destroys tissue and can be life-threatening if not treated promptly.

Key Facts

  • Occurs in approximately 0.4 cases per 100,000 people annually
  • Requires immediate medical attention
  • Can affect any part of the body
  • Most commonly affects limbs, groin, and abdominal wall

Risk Factors

  • Weakened immune system
  • Diabetes
  • Obesity
  • Cuts, scrapes, or surgical wounds
  • Intravenous drug use
  • Chronic health conditions

Warning Signs and Symptoms

Early Symptoms

  • Severe pain that seems disproportionate to visible injury
  • Fever and chills
  • Redness or warm skin in affected area

Later Symptoms

  • Skin discoloration (purple or dark patches)
  • Blisters or black spots
  • Swelling and fluid accumulation
  • Dizziness and fatigue

Diagnosis & Treatment

Diagnosis Methods

  • Physical examination
  • Blood tests
  • Imaging (CT, MRI)
  • Tissue biopsy if needed

Treatment Approach

  1. Immediate hospitalization
  2. Aggressive antibiotic therapy
  3. Surgical debridement (removal of infected tissue)
  4. Supportive care (fluids, pain management)

Prevention

  • Clean all wounds properly
  • Keep injuries covered with clean bandages
  • Practice good hygiene
  • Seek medical attention for concerning wounds

When to Seek Emergency Care

Seek immediate medical attention if you experience:

  • Severe pain with redness or swelling
  • Fever with skin changes
  • Rapidly spreading infection

Recovery and Outlook

  • Recovery period varies depending on severity
  • May require rehabilitation
  • Some patients need reconstructive surgery
  • Long-term follow-up care is essential

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