Analgesia With Epidural Anesthesia in Lower-Leg Necrotizing Fasciitis: A Case Report

Appropriate methods have not been established despite the necessity of analgesia for debridement in cases of necrotizing fasciitis. A 45-year-old woman was hospitalized for necrotizing fasciitis due to <i>Streptococcus pyogenes</i>. Rapid debridement and antibiotic treatment enabled the patient's quick discharge from the intensive care unit. However, after discharge, she began experiencing considerable pain in the left lower leg, which hindered adequate debridement, resulting in the persistence of necrotic tissue. Epidural anesthesia was administered to alleviate pain and enable debridement. Epidural anesthesia was effective as analgesia in this case, facilitating infection control through debridement and alleviating procedural pain.