A case of streptococcal fasciitis developing secondary to trauma and progressing with erythema multiforme

Abstract

Necrotizing fasciitis (NF) is a soft tissue infection involving the superficial fascial layer and skin-subcutaneous tissue. It is rare, its course is rapid, and its fatal course can only be prevented with early diagnosis and treatment. Extensive surgical debridement and administra- tion of appropriate antibiotic therapy as early as possible are essential for successful treatment. On the fourth day of treatment for NF in the left foot of a 31-year-old male patient, rashes consistent with erythema multiforme (EM) were detected on the hands, feet, and oral mucosa of the pa- tient. Although EM is often associated with infections, it can also develop due to malignant diseases or drugs. We aimed to present this case be- cause it is a rare condition in which the coexistence of NF and EM is seen.