Group A ÃÂ²-haemolytic Streptococcal Necrotizing Fasciitis of the Lower Limb: A Case Report.
|Tomas B. O’Neill1*, Jurgen Mulsow1, Eilis Fitzgerald2, Cassie McVeigh2, Felix Ofori-Kuma1, Sean Carroll2 and Tom O’Reilly2|
|1Department of General Surgery, Wexford General Hospital, Wexford, Ireland|
|2Department of Plastic Surgery, St. Vincent’s University Hospital, Elm Park, Dublin 4, Ireland|
|Corresponding Author :||Tomas B. O’Neill
Department of General Surgery
Wexford General Hospital
5 Woodview, Castlebridge, Wexford, Ireland
E-mail: [email protected]
|Received November 24, 2011; Accepted February 22, 2012; Published February 27, 2012|
|Citation: O’Neill TB, Mulsow J, Fitzgerald E, McVeigh C, Ofori-Kuma F, et al. (2012) Group a β-haemolytic Streptococcal Necrotizing Fasciitis of the Lower Limb: A Case Report. J Trauma Treatment 1:115. doi:10.4172/2167-1222.1000115|
|Copyright: © 2012 O’Neill TB, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
We present an illustrated case of necrotising fasciitis of the lower limb and lower anterior abdominal wall in a fifty year old male who had sustained a superficial abrasion to the ankle on the affected limb whilst working in a sewer two weeks previously. Extensive and aggressive surgical debridement totaling 18 percent total body surface area was performed in a peripheral hospital setting. Once stabilized the patient was transferred to a tertiary referral centre for early further assessment and management by the plastic surgery team. Three separate split skin grafting procedures were performed and the patient was discharged on the 51st day of admission.