Abstract
Necrotizing fasciitis is a repidly progressive, often fatal soft tissue infection involving the overlying skin because of thrombosis of nutrient vessels which occurs secondarily. Early diagnosis and radical debridement are essential. Two cases of necrotizing fasciitis are reported. case 1 was a 60-year-old man with diabetes mellitus. He was admitted to the hospital for diabetic gangrene of the bottom. after admission his symptom rapidly progressed and necrotizing fasciitis occurred. Radica debridement was performed. Case 2 was a 45-year-old man. After emergency operation for an abdominal trauma, necrotizing fasciitis occurred from the middle wound to the waist. Radical debridement was carried out, but the fascial necrosis extended to the parietal peritoneum, and the patient died. This paper also presents some notes on accumulated 28 cases from the Japanese literature.
