Female aged 50 years presented with history of type2 DM SINCE 5 years she is on inj INSULIN ! She is taking insulin on her right thigh as shown and presented with this type skin infection ! Diagnosis and treatement !

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Necrotizing fasciitis. A debridement required till healthy and red viable granulation tissue appears. A relook debridement after a weeks time. Parenteral antibiotics preferably Piperacillin 4gm + Tazobactum500 mg 8 hourly for 7day followed by oral antibiotics. Maintenance of dehydration and electrolytes disturbances if any . Strict glycaemic control to be achieved by insulin.. Later on skin grafting required

I fully agree with Dr @Parveen Yograj Sir. But want to add few more suggestions like- 1. Daily dressing of wound with NS irrigation and Metrogyl gel. 2. Only hydrogen peroxide application on 1st day during debridement not on follow up. 3. No insulin injection on affected limb. 4. Jelonet application on the wound before bandage application. 5. Crepe bandage should be firm (neither tight nor loose). 6. HBOT will be very helpful in this particular case.

yes, its Necrotizing Fascitis. Needs hospitalisation, urgent debridement, broad spectrum iv antibiotics, strict glycemic control. Teach Insulin injection technique to pt or relatives.

Necrotising Fascitis Control of blood sugar, Surgical debridement, Proper dressing and wound care, Broad spectrum antibiotic, If required redebridement, After proper granulation tissue, skin grafting to be done.

Control the sugar ...Remove necroties slaugh....clean the wound with betadine n hydrogen pyrox. ....daily dressing with amorphous hydrogel ...start higher antibiotic cef linizoid600 mg and vit C....tab k trip forte and other symptamatic...

All r right.in addition eusol dressing and iv hermin will help along with high protein diabetic diet to improve fast.
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Debridement of eschar Dressing Antibiotics Vitamins Control diabetes SSG Compression garments

Necrosis.culture, wound debridment, Look for vascular pathology.Sugar control, antibiotics C&D sometimes skin grafting

Necrotising fascitis needs debridement f/b vaccume suction dressing high antibiotics and maintenance of her blood sugars

Necrotizing fascitis. Needs debridement

Necrotising Fascitis. Control DM. UNDER GA DEBRIDEMENT UNDER ANTIBIOTICS. SEND CULTURE. GENERAL N LOCAL CARE. START PROPER ANTIBIOTICD AS PER REPORT.

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