Necrotizing fasciitis is a fatal, rapidly progressive, often initially unrecognized condition. Mortality rates range from 30% to 76%. Prognosis depends on the delay of diagnosis, antimicrobial treatment and surgical excision of all necrotic tissue. A case of postpartum perineal necrotizing fasciitis arising from episiotomy is presented. Prompt recognition and aggressive therapy resulted in a favorable outcome despite significant morbidity.
Necrotizing facsciitis Episiotomy
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Brewer GE, Meleney FL (1926) Progressive gangrenous infection of the skin and subcutaneous tissues, following operation for acute perforate appendicitis. Ann Surg 84:438–450CrossRefPubMedGoogle Scholar
Cullen TS (1924) A progressively enlarging ulcer of the abdominal wall involving the skin and fat, following drainage of an abdominal abscess apparently of appendical origin. Surg Gynecol Obstet 38:579–582Google Scholar
Ewing TL, Smale LE (1979) Maternal deaths associated with postpartum vulvar edema. Am J Obstet Gynecol 134:173–179PubMedGoogle Scholar