Early detection of flesh-eating disease is key

Necrotising fasciitis can quickly develop into a life-threatening illness if not found and treated early.

Susan is a 69-year-old who presents to ED with bilateral lower limb ulcers.

Figure 1. Susan’s left leg at presentation.

She reports severe pain in her left leg for a few days, with associated fevers, chills and rigors.

A bulla developed over her left calf yesterday.

She has chronic bilateral heel pressure ulcers but no history of recent surgery or trauma to lower limbs.