A Rare Presentation of Fulminant Necrotizing Soft Tissue Infection in Post Partum Period: Report of Two Cases

Abstract

Necrotizing fasciitis is a severe infection involving skin, subcutaneous tissue and superficial fascia, which has lethal outcome. Risk factorsassociatedwiththisconditionincludediabetesmellitus,anemia,andimmunosuppressivestatessuchasAIDS,orprolonged steroid use. Surgery is an independent risk factor. Serial surgical debridement with appropriate broad spectrum antibiotics is the mainstay of treatment. We are reporting two cases. First is necrotizing soft tissue infection of the anterior abdominal wall in post cesareanpatient,whichwasveryfulminantandfatal. ThesecondisFournier’sgangreneinapatientwithepisiotomyduringnormal vaginal delivery. Postpartum necrotizing soft tissue infection is very challenging and fatal. Nowadays these are very rare cases due to antibiotics.