NECROTIZING FASCIITIS SECONDARY TO TUBERCULOSIS IN A MIDDLE- AGED MAN

Necrotizing fasciitis is a life-threatening soft tissue infection that results in rapid local tissue destruction. Type 1 necrotizing fasciitis is characterized by polymicrobial, synergistic infections that are caused by non-Group A Streptococci, aerobic and anaerobic organisms. Type 2 necrotizing fasciitis involves Group A Streptococcus (GAS) with or without a coexisting staphylococcal infection. If not treated precociously and in an adequate manner the mortality rate can reach up to 74%. (1) Here we present a case of 37years old male with tuberculous necrotising fasciitis presenting with signs of acute inflammation. The tissue was debrided (sent for histopatological examination) and pus drained (sent for routine culture and AFB culture). The histopatological report of the underlying muscle and fascia was suggestive of tuberculous inflamation (dense neutrophilic infiltration with caseous necrosis) while the pus culture and AFB culture was negative for Mycobacteium species.