Necrotizing fasciitis, an infection of the skin and subcutaneous tissue, can spread rapidly. Studies have emphasized the importance of prompt surgical intervention with aggressive debridement of diseased tissue; however, mortality rates are high despite immediate treatment. We describe two men, aged 44 years (case 1) and 74 years (case 2), presenting with necrotizing fasciitis who underwent aggressive surgical intervention, multiple debridements, and eventual transhumeral amputation of the upper extremity. In each case, the patients were discharged from the hospital to their homes on amoxicillin-clavulanate at postoperative days 15 (case 1) and 32 (case 2). Findings of laboratory studies had normalized. Early diagnosis of necrotizing fasciitis is vital for successful treatment of the infection. We recommend limb amputation as a life-saving measure if aggressive debridement and antibiotic therapy are unsuccessful.
Newhoff, Drew K.; Amber L. Price; Christina Salas; and Deana M. Mercer. "Transhumeral Amputation for Treating Necrotizing Fasciitis Infection of the Upper Extremity: Report of Two Cases." UNM Orthopaedic Research Journal 6, 1 (2017). https://digitalrepository.unm.edu/unm_jor/vol6/iss1/37