Middle age patient case with pain swelling in left hand.. For 4 days.. Now presents in shock with history of fever with chills.. Vitals BP-80/?, pulse 110/min with cold periphery Physical Examination Left axillary lymphadenopathy

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?Sub acute Necrotizing fasciitis Do Cbc & ESR, CRP, SERUM ELECTROLYTE, BLOOD CULTURE, PUS CULTURE ?LYMPHANGINITIS URGENT SURGICAL DEBRIDEMET START BROAD SPECTRUM ANTI MICROBIAL THERAPY

? CELLULITIS..LEFT.. FOREARM WITH.. ASSOCIATED LYMPHADENITIS.. SEPTIC SHOCK.. ? TOXIC EPIDERMAL NECROKYSIS.. WITH.. ASSOCIATED COMPLICATIONS..

Tnx &wc Dr Amit Paul
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Rest. IV (intravenous) fluids. Pain medicines. Medicines to prevent vomiting. Surgery is the primary treatment for necrotizing fasciitis. . Surgeons must be consulted early in the care of these patients, as early and aggressive surgical debridement of necrotic tissue can be life-saving.

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Myrestica dressing can help

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