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.