A 12 year old boy , suffering from acute inflammation showing absess from 6 months, and pus with pungent smell from 5 months. identify it and it's causes?

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Necrotising fasciitis. A debridement is required with removal of dead and black slough till red and healthy viable granulation tissue appears. Parenteral antibiotics inj cetriaxone 1gm + sulbactum 500 mg B.D for 7 days . Followed by oral antibiotics, Amoxyclav for 1 week. Once wound is healthy, a split skin grafting is indicated

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Xray the foot and leg to exclude bone infection . pus for smear and CS. Exclude pseudomonas . parentral antibiotics . ?DM Hba1c . Review. Wash the wound with H2O2.and NS .after removing black slough. To allow germination of granulations. ??Juvenile Diabetic.untreated. .

With a chronic history of abscess gas gangrene or necrotizing fascitis unlikely. Patient may be probably a immunosuppressed with fungal infection causing abscess & ulcer.

Necrotising fasciitis Debridement black spot Continuous dressing Pus culture INJ mega CV IV BD TAB mega CV TDS TAB zerodol sp TAB Celine 500mg hs TAB neurobian forte

It's necrotizing fascitis. Need to do swab culture after thorough debridement till viable tissue and treating with suitable antibiotics. Resurfacing will be done at a later with skin grafting or flap coverage

ALMOST IMPENDING GANGRENE SO IS THE SEVERITY OF WOUNDS OF LEG AND FOOT

Necrotising facitis. Thourogh debridement , sent pus cs. Higher antibiotic. And dressing. Later on plan for SSG.

Debridement Dressing Skin graft

Give anthracinum it will support in fast healing try once with arsenic and carbo veg definitely u ll amazed by result

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