Necrotizing fasciitis secondary to crush trauma

Introduction: Necrotizing fasciitis is a devastating acute bacterial infection that affects the superficial and deep fascia, subcutaneous tissue, and, in severe cases, vascular and nervous structures. Although rare, its incidence has increased in recent years. Objective: To describe the successful therapeutic management of a case with Necrotizing fasciitis. Case report: A 21-year-old male patient with PPA due to a sella turcica tumor and epilepsy, for which he reports no treatment. He presented to the Emergency Department of Miguel Enríquez Hospital with pain in his right lower limb and a foul odor due to a traffic accident on February 3, 2025. The patient reported pain, increased volume, skin discoloration, and abundant fetid, bloody discharge, with a fever of 38-39°C since the previous afternoon. Therefore, the decision was made to admit the patient for surgical treatment. Conclusions: Skin grafting is considered an excellent coverage option for soft tissue defects and offers very favorable results in the reconstruction of the affected limb after necrotizing fasciitis.