A Case of Extensive Necrotizing Fasciitis with Poor General Condition Treated by Gradual Debridement and Postage Stamp Skin Graft Bolstered with Negative Pressure Wound Therapy at the Bedside

Abstract

Case presentation69-year-old female. Based on untreated diabetes, she was hospitalized for necrotizing fasciitis of the right thigh from the lower abdomen (Fig. 1a). She was in shock due to sepsis, but antibiotics improved her inflammation, and she withdrew from the shock. Subsequently, debridement was performed. However, since she had a cerebral infarction when shock and treatment under general anesthesia were at high risk, bedside debridement was performed daily under local anesthesia (Fig. 1b). Eight days after the start of debridement, most of the necrotic tissue was resected. Still, extensive skin defect of 35 ×