Spontaneous closure of an extensive postdebridement perineal wound in a newly diagnosed diabetic patient presenting with necrotizing fasciitis

Abstract

Abstract Diabetes mellitus may present for the first time with necrotizing fasciitis. Early treatment of septic shock and immediate surgical debridement reduces mortality. A diverting loop colostomy prevents soiling of extensive postdebridement wound. Local wound care together with good glycemic and infection control leads to spontaneous wound closure.

Keywords

• debridement
• diabetes mellitus
• Fournier' s gangrene
• glycemic control
• immunosuppression
• necrotizing fasciitis