PMC4489418_01
Initial presentation.
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F1
48 yr. old male presented to us with multiple draining sinuses and abscesses over both the thighs and buttocks associated with stiffness in both hips and knees over the past 10 years (Fig 1).
After two debridement and vacuum assisted closure.
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F2
After through debridement negative suction dressing used for both lower limbs (fig 2 &3).
After skin grafting
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F3
After through debridement negative suction dressing used for both lower limbs (fig 2 &3).
Acellular Myofibrosis (High Power)
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F4
Once the wound was healthy, skin grafting was done by harvesting healthy skin from the posterior aspect of the thigh (fig.4).
Necrotising fasciitis with micro-abscesses
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F5
Histopathology was suggestive of acellular myofibrosis (fig 5) with necrotizing fasciitis and micro abscesses (fig 6).
Nine month follow up
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F6
Histopathology was suggestive of acellular myofibrosis (fig 5) with necrotizing fasciitis and micro abscesses (fig 6).
Current Status with no infection
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F7
Wounds healed well and 9 months follow up (fig 7) suggesting no re-activation/relapse of infection.
PMC4489418_02