TY - CHAP M1 - Book, Section TI - Necrotizing Fasciitis A1 - Usatine, Richard P. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. PY - 2019 T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 54-year-old woman with diabetes was brought to the emergency department with right leg swelling, fever, and altered mental status.1 The patient noted a pimple in her groin 5 days earlier and over the past few days had increasing leg pain. Her right leg was tender, red, hot, and swollen (Figure 128-1). Large bullae were present. Her temperature was 38.9°C (102°F) and her blood sugar was 573. The skin had a "woody" feel, and a radiograph of her leg showed gas in the muscles and soft tissues (Figure 128-2). She was taken to the operating room for debridement of her necrotizing fasciitis. Broad-spectrum antibiotics were also started, but the infection continued to advance quickly. The patient died the following day; her wound culture later grew Escherichia coli, Proteus vulgaris, Corynebacterium, Enterococcus, Staphylococcus sp., and Peptostreptococcus.1 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - dermatology.mhmedical.com/content.aspx?aid=1164353677 ER -