A Combined approach of surgery and negative pressure wound therapy in post intramuscular injection necrotizing fasciitis: A case report

Necrotizing fasciitis is one of the most severe soft tissue infections, having substantial fatality rates even in facilities with the highest standards. Typically, it first affects the muscular fascia before spreading to the muscles and subcutaneous tissues. Thus, the therapy for this illness depends on early detection. In this report, we present the case of an 18-year-old male who developed severe necrotizing fasciitis in the right gluteal area following an intramuscular injection of diclofenac sodium. The patient received significant surgical debridement, negative pressure wound therapy (NPWT), and antibiotics as part of their care. A split-thickness skin graft was used for reconstruction. Our results were outstanding as the wound totally healed. Overall, our findings portrayed the importance of taking serious action against soft tissue infections.