Erin Koprince*, Mona Ramani and Alexander Perez
Founder and Surgeon at Aire Podiatry Studio, Western University of Health Sciences, United States
*Corresponding Author: Erin Koprince, Founder and Surgeon at Aire Podiatry Studio, Western University of Health Sciences, United States.
Received: September 01, 2022; Published: December 13, 2022
In this case study, a 49-year-old male presents to the emergency room in acute respiratory distress. He was subsequently found to be septic and the cause was determined to be necrotizing fasciitis to the left lower extremity. The patient was admitted to the intensive care unit and taken to the operating room for emergent debridement. The patient continued to worsen after multiple debridements and a decision was made to attempt a final salvage procedure before amputation. Following the final radical debridement, the decision was made to incorporate a novel topical antimicrobial in the daily dressing changes. The first application was applied in the operating room and during daily dressing changes. The patient began to show immediate improvement and stabilized at post admission day 19. Skin grafting was successful and the patient was discharged to rehab. At the 6 week follow up appointment the patient had returned to work and was ambulating without assistive devices.
Our case report suggests that the use of a topical antimicrobial as ancillary therapy yields better outcomes in muscle preservation than traditional treatment methods alone. These results warrant further evaluation utilizing the addition of a topical antimicrobial to the treatment of necrotizing fasciitis in a randomized control study. The rarity of the disease makes this a difficult feat to accomplish, however the mortality of the disease makes it necessary.
Keywords: Necrotizing Fasciitis; Diagnosis; Liquefaction
Citation: Erin Koprince., et al. “A Novel Approach to the Treatment of Necrotizing Fasciitis”.Acta Scientific Orthopaedics 6.1 (2023): 126-129.
Copyright: © 2023 Erin Koprince., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.