PMC9486268_01
Progression stages of the necrotizing fasciitis wound. (a) ulcerated, necrotic area of the posterior neck on presentation; (b) computed tomography (CT) of the soft tissue of the neck showed marked inflammation at the posterior aspect of the neck with soft tissue gas collections consistent with necrotizing fasciitis; (c) after debridement for extensive necrotizing fasciitis of the head and neck; and (d) progressive healing of the wound.
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She appeared disheveled, alert, oriented, and without focal neurological deficits. She had dry mucous membranes and an ulcerated, necrotic area of the posterior neck (Figure 1(a)). Computed tomography (CT) of the soft tissue of the neck (Figure 1(b)) showed marked inflammation at the posterior aspect of the neck with soft tissue gas collections consistent with NF. She was transferred to a higher level of care where she underwent debridement for extensive NF of the head and neck (Figure 1(c)). After her discharge, she continues to follow up with outpatient wound care, has had one outpatient surgery for application of Integra wound matrix, and is progressively healing (Figure 1(d)) (Figure 2).
Healing necrotizing fasciitis wound.
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After her discharge, she continues to follow up with outpatient wound care, has had one outpatient surgery for application of Integra wound matrix, and is progressively healing (Figure 1(d)) (Figure 2).