Necrotizing fascitis, flesh-eating bacteria: Let's talk about 2 Cases.

Abstract

Necrotizing fasciitis is a rare but rapidly progressive, serious, life-threatening infection with destruction and necrosis of fat and fascia and skin. Tissue destruction can affect any part of the body, but is more common in the extremities.

Group A streptococci (Streptococcus pyogenes), colonizing pathogens of the skin and throat; On certain occasions and conditions, they can cause serious infections such as necrotizing fasciitis and streptococcal toxic shock, also known as carnivorous bacteria or "meat-eaters".

The entrance door can be through a cut, scrape, insect bite, bite, surgical wound, etc. Those with diabetes, HIV, chronic kidney disease, cirrhosis, cancer, transplant recipients, etc. are more at risk.

Both patients presented necrotizing dermal lesions, with a fetid odor, but not very painful on palpation, with a history of having suffered an insect bite, but with a lot of itching, which caused scratching of the lesions, which increased in color reddish erythema and edema. ) to necrotic, one of the patients presented toxic shock.