How is necrotizing fasciitis (streptococcal gangrene/fasciitis) managed?

Updated: Sep 07, 2018
  • Author: Zartash Zafar Khan, MD, FACP; Chief Editor: Pranatharthi Haran Chandrasekar, MBBS, MD  more...
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Answer

As the lesion in necrotizing fasciitis progresses (approximately 48-72 h), the skin becomes bluish and dusky, and bullae containing yellow or hemorrhagic fluid appear. By the fourth to fifth day, frank gangrene is present, and extensive sloughing of skin occurs. Surgical débridement of necrotic tissue is a crucial adjunct to management. Consultation with a surgeon early in the course of infection is essential because débridement is often lifesaving.


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