Necrotizing fasciitis in congenital lymphedema. Case report

Severe necrotizing fasciitis of the left leg and the trunk is described in a patient with congenital lymphedema. About 20% of the subcutaneous tissue and fascia was involved, with rapidly spreading necrosis and secondary toxemia. Lymphedema has not previously been reported as a factor predisposing to necrotizing fasciitis. Treatment is discussed.