Rectum Perforation Complicated Necrotizing Fasciitis Present as Lumbar Disc Herniation: Case Report.

Area of Science:

• Infectious Diseases
• Surgical Pathology

Background:

• Necrotizing fasciitis (NF) is a rapidly progressive, deep soft tissue infection causing extensive destruction of fascia and subcutaneous fat.
• Delayed diagnosis of NF can lead to severe complications including septic shock, multiple organ failure, and death.
• Initial presentation of NF can be deceptively benign, with overlying tissues appearing unaffected, complicating early recognition.

Purpose of the Study:

• To report an unusual case of necrotizing fasciitis presenting as lumbar disc herniation.
• To highlight the importance of considering NF in the differential diagnosis of low back and unilateral leg pain.

Main Methods:

• Case report of a patient with necrotizing fasciitis of the buttock and left thigh.
• Clinical presentation mimicking lumbar disc herniation.
• Successful treatment with emergent fasciotomy and intensive care.

Main Results:

• The patient's necrotizing fasciitis presented with symptoms mimicking lumbar disc herniation.
• Prompt surgical intervention (fasciotomy) and intensive care led to successful patient outcomes.
• The case underscores the diagnostic challenges associated with atypical NF presentations.

Conclusions:

• Necrotizing fasciitis can present atypically, mimicking common conditions such as lumbar disc herniation.
• A high index of suspicion and careful diagnostic evaluation are essential for patients with low back and unilateral leg pain.
• Early recognition and aggressive management, including fasciotomy, are critical for improving outcomes in necrotizing fasciitis.