NECROTIZING FASCIITIS - THE HAZARDS OF DELAY

Necrotizing fasciitis was first described in a specific body region by Fournier in 1883(1) and as a more generalized condition by Meleney in 1924(2). The use of the term 'necrotizing fasciitis' can be attributed to Wilson in 1952(3). It is perceived as a rare condition, causing potentially devastating morbidity and frequent mortality(4). Prompt surgical management is generally accepted as the mainstay of treatment(4,5). This report illustrates the relationship between delay in definitive treatment and morbidity. Management options are also reviewed.