case_images: PMC4084793_01
case_images: Skin manifestation after bagatelle injury on day 11 after admission.
case_images: 1754-9493-8-28-1.jpg
case_images: PMC4084793_01_1754-9493-8-28-1.jpg
case_images: F1
case_images: Within the next two days, the hematoma rapidly changed to a big untypical necrosis of the skin (day 11 after admission, see Figure 1).
case_images: Intraoperative appearance after initial radical debridement on day 11 after admission.
case_images: 1754-9493-8-28-2.jpg
case_images: PMC4084793_01_1754-9493-8-28-2.jpg
case_images: F2
case_images: Therefore, a surgical exploration was performed immediately (see Figure 2).
case_images: Areactive necrosis of subcutaneous fat and fascia without detection of bacteria (H&E, 200x).
case_images: 1754-9493-8-28-3.jpg
case_images: PMC4084793_01_1754-9493-8-28-3.jpg
case_images: F3
case_images: The initial histopathological report could not confirm the typical picture of necrotizing fasciitis (see Figure 3).
case_images: Diagram of the course of disease.
case_images: 1754-9493-8-28-4.jpg
case_images: PMC4084793_01_1754-9493-8-28-4.jpg
case_images: F4
case_images: It took another six surgical interventions and nearly eight months to finally close all wounds (see Figure 4).