EC Clinical and Medical Case Reports

Necrotizing fasciitis (NF) or as commonly known as flesh-eating disease, is a rare but potentially fatal infection involving the subcutaneous tissue and fascia. Early diagnosis sometimes difficult since necrotizing fasciitis at early onset cannot be differentiated from cellulitis. Delay in diagnosis and of course early surgical management leads to increased mortality and morbidity. Causative organisms are polymicrobial in two thirds of cases and one third caused by group A Streptococcus (GAS) and Staphylococcus aureus. Risk factors have been noted to include obesity, diabetes mellitus, immunosuppression, alcoholism, chronic renal failure among others. A predisposing factor can be trauma whether surgical or nonsurgical. In literature review, we couldn’t come across any case of necrotizing fasciitis in a healthy adult patient without predisposing factors. Here we are presenting may be the first case of necrotizing fasciitis in a healthy adult male patient with no history of previous trauma.

We report a case of necrotizing fasciitis in a 44 years old male healthy patient at Jazan General Hospital; Jazan; Kingdom of Saudi Arabia.

Keywords: Necrotizing Fasciitis; Perineal; Ischiorectal

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