Presentation
Rapid progressive swelling of the right forearm.
Patient Data
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.
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