Management of non-healing lesion from surgical treatment of necrotizing fasciitis through Ayurveda- a case report

Abstract

Necrotizing fasciitis is a soft-tissue infection that is rare but life-threatening. The early clinical presentation of necrotizing fasciitis is local erythema, pain, and fever. It occurs in any part of the body, but it is mainly found in the extremities, abdominal wall, and perineum. It needs intensive care with appropriate antibiotics and extensive surgical debridement. This Case of necrotizing fasciitis was initially treated with surgical debridement and splint skin grafting. After two months of failed medical-surgical interventions and dressing, the 17-year old female in an irritable but oriented state approached the outpatient department of kayachikitsa with the unhealed wound. The Ayurvedic diagnosis of Vidradhi was deliberated after considering Pitta Dosha and Rakta, Mamsa, and Meda Dhatu. She was treated with medicines, including external applications, for one month. It resulted in complete wound healing and minimal scarring, and a satisfied patient. This Case can be the basis for future research studies.

Keywords

• Necrotizing fasciitis
• Vidradhi
• Medicines
• External application
• Case report