Necrotizing fasciitis

Case contributed by Dr Vijay Mistry


Rapid progressive swelling of the right forearm.

Patient Data

Age: 60 years
Gender: Male

Extensive soft tissue gas involving the right hand and visualized right forearm.


Surgical staples along the lateral aspect of the distal forearm and hand consistent with previous debridement. Soft tissue swelling. Amputation of the 1st and second digits from the level of the mid shaft first phalanx and mid shaft of 2nd metacarpal.

Case Discussion

A case of necrotizing fasciitis presenting as rapidly progressive right arm swelling and pain after sustaining a laceration to right arm. Multiple debridements confirmed Clostridium septicum, with amputation of right thumb and index finger and flap reconstruction performed. This highlights the importance of obtaining plain radiographs when working up certain cases of soft tissue infections.

PlayAdd to Share

Case information

rID: 56961
Published: 1st Dec 2017
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included
Institution: Princess Alexandra Hospital

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.