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2000
Volume 26, Issue 1
  • ISSN: 1871-5303
  • E-ISSN: 2212-3873
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Abstract

Background

Perineal necrotizing fasciitis, or Fournier's gangrene, is a rare but rapidly progressing condition characterized by fascial necrosis. It is a severe, potentially life-threatening infection requiring prompt diagnosis and standardized treatment to optimize patient outcomes.

Case Presentation

A 48-year-old woman with poorly controlled type 2 diabetes developed necrotizing fasciitis of the right perineum secondary to an ischial tuberosity pressure ulcer. She had a prior spinal cord injury resulting in sensory dysfunction in the lower limbs, which masked significant pain. Management included surgical debridement, open wound care, antimicrobial therapy, and a free skin graft for wound closure.

Conclusion

Effective treatment of necrotizing fasciitis relies on aggressive debridement and appropriate antimicrobial therapy. This case highlights the importance of early recognition and intervention to improve clinical diagnostic and management strategies.

© 2026 The Author(s). Published by Bentham Science Publishers.
This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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2025-04-04
2025-12-15

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/content/journals/emiddt/10.2174/0118715303385272250320042418
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A Rare Case of Ischial Tubercle Pressure Sore with Secondary Periperineal Necrotizing Fasciitis
Endocr Metab Immune Disord Drug Targets 26, E18715303385272 (2026); https://doi.org/10.2174/0118715303385272250320042418
/content/journals/emiddt/10.2174/0118715303385272250320042418
/content/journals/emiddt/10.2174/0118715303385272250320042418
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  • Article Type:     Research Article
Keyword(s): antimicrobial therapy; ischial tuberosity; necrotizing fasciitis; perineum; Pressure ulcer; surgical debridement

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