What is Necrotising fasciitis?

Sept. 18, 2024

A 59-year-old British man narrowly escaped death after a seemingly minor spider bite that turned into a life-threatening disease named Necrotising fasciitis.

About Necrotising fasciitis:

  • Necrotizing fasciitis, also known as flesh-eating disease, is a rare and life-threatening bacterial infection that affects the tissue under the skin called fascia. 
  • "Necrotizing" means causing tissue death, and "fasciitis" refers to fascia inflammation, which is tissue under the skin. 
  • It includes two types:
  • Type I, or polymicrobial: This type happens when more than one bacteria, usually a mix of aerobic and anaerobic bacteria, causes the infection.
  • Type II, or monomicrobial: The monomicrobial form is typically caused by one bacteria, group A streptococcus or Staphylococcus aureus bacteria.
  • The infection may get into the body through:
  • cuts and scratches
  • burns and scalds
  • insect bites
  • surgery
  • injecting drugs
  • It is a form of necrotizing soft tissue infection (NSTI). These life-threatening infections affect the skin, muscles, and soft tissue and cause patches of tissue to die.
  • Necrotising fasciitis infection typically travels along the fascial plane, which has a poor blood supply, leaving the overlying tissues initially unaffected, potentially delaying diagnosis and surgical intervention.
  • It spreads quickly and aggressively in an infected person, causes tissue death at the infection site, and can be deadly if not treated right away.
  • Symptoms: 
  • Early symptoms of this condition include signs and symptoms that resemble those of the flu.
  • Later signs and symptoms include Reddened and/or discolored skin, Swelling of affected tissues, Unstable blood flow, Blisters filled with bloody or yellowish fluid, Tissue death (necrosis), Low blood pressure, Sepsis, etc.
  • Treatment: 
  • Currently, there isn’t a vaccine to prevent necrotizing fasciitis.
  • It’s treated with antibiotics and surgery to remove damaged tissue.