Necrotizing Fasciitis: Fatal Evolution of Acral Melanoma
Necrotizing fasciitis is a life-threatening soft tissue infection
characterized by a rapidly spreading infection
of the subcutaneous tissue and in particular the fascia.
We report a case of NF following surgery of an acral melanoma
A 73-year-old patient, with a history of type 2 diabetes with
a poor glycemic balance, was diagnosed with acral non metastatic
pigmented melanoma of the fifth toe and underwent surgery
to excise the tumor.
Dermatological examination found an ill-limited
oedematous erythematosus leg with large
phlyctenes and necrotic areas extending from
the back of the foot to the left leg.
Palpation of the leg found crepitus and hypoesthetic zones.
The member’s X-ray showed an infiltration
of the soft parts of the leg with
the presence of air bubbles.
As the diagnosis of necrotizing fasciitis
was highly suspected, the patient
underwent surgery for an discharge
aponevrotomy. He died hours later due to a septic shock.
Necrotizing fasciitis is a life-threatening soft tissue infection
characterized by a rapidly spreading infection
of the subcutaneous tissue and in particular the fascia.
We report a case of NF following surgery of an acral melanoma
A 73-year-old patient, with a history of type 2 diabetes with
a poor glycemic balance, was diagnosed with acral non metastatic
pigmented melanoma of the fifth toe and underwent surgery
to excise the tumor.
Orthop Res Traumatol Open J. 2020; 5(1): 1-2. doi: 10.17140/ORTOJ-5-116
