case_images: PMC10782520_01
case_images: Gross pathologic examination of the debrided necrotic tissue measuring 44 x 17 x 4 cm (scale bar = 5 cm).
case_images: autopsy-13-e2023467-g01.jpg
case_images: PMC10782520_01_autopsy-13-e2023467-g01.jpg
case_images: gf01
case_images: Debrided tissue measured 44 x 17 x 4 cm (Figure 1).
case_images: Photomicrograph of the surgical specimen. A - displays fat necrosis with fibrin thrombi in the blood vessels (H&E, 200X); B - displays pale gray necrotic tissue having a granular appearance without associated neutrophils consistent with stage III necrotizing fasciitis (H&E stain, 100X); C - displays pale gray necrotic tissue having a granular appearance without associated neutrophils consistent with stage III necrotizing fasciitis (H&E stain, 100X); D - shows sheets of gram-positive cocci (Gram stain, 100X).
case_images: autopsy-13-e2023467-g02.jpg
case_images: PMC10782520_01_autopsy-13-e2023467-g02.jpg
case_images: gf02
case_images: Fibrin thrombi were present in viable subcutaneous adipose tissue (Figure 2A). Histology revealed abscesses next to zones of pale gray necrotic tissue having a granular appearance without associated neutrophils (Figures 2B and 2C). Gram stain of these pale gray zones revealed sheets of gram-positive cocci (Figure 2D), consistent with stage III necrotizing fasciitis (NF).