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Necrotising Fasciitis Originating from a Vulval Abscess
K. Razvi (Lecturer)*
C. L. Ong**
S. Chua (Senior lecturer)*
Y. T. Chia*
S. S. Ratnam (Emeritus Professor)*
S. Arulkumaran (Head of Department)***
Department of Obstetrics and Gynaecology*, and
Department of Surgery**, National University Hospital,
Singapore. Department of Obstetrics, Midwifery and
Gynaecology, Derby City General Hospital, Derby, U.K***.
Summary
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Necrotising fasciitis is a rare but potentially lethal condition, most commonly affecting elderly people with predisposing medical disorders (e.g. diabetes).
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Widespread necrosis of subcutaneous tissue and fascia, with secondary necrosis of overlying skin is characteristic. The disease is usually accompanied by systemic toxicity.
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A high index of suspicion and early surgical consult are essential to minimise morbidity and mortality.
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Following diagnosis, aggressive surgical debridement with antibiotic cover is required, along with meticulous follow-up nursing care of the large wound.
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