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What are symptoms of necrotizing fasciitis?

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Usually within the first 24 hours of infection, you'll have a combination of:

Within 3-4 days of infection:

Within 4-5 days of infection:

  • Pain getting worse around a minor cut, scrape, or other skin opening
  • More pain than you'd expect given what it looks like
  • Redness and warmth around the wound
  • Flu-like symptoms such as diarrhea, nausea, fever, dizziness, and weakness
  • Intense thirst
  • Swelling and possibly a purplish rash
  • Large, purple marks that turn into blisters filled with dark, stinky fluid
  • Discolored, peeling, and flaky skin
  • Severe drop in blood pressure
  • Toxic shock
  • Unconsciousness

SOURCES:

Medscape: "Necrotizing Fasciitis Clinical Presentation," "Emergent Management of Necrotizing Fasciitis."

Merck Manuals: "Necrotizing Skin Infections."

CDC: "Group A Streptococcal (GAS) Disease."

National Necrotizing Fasciitis Foundation: "Necrotizing Fasciitis Factsheet."

American College of Chest Physicians: "Necrotizing Fasciitis and Deep Soft Tissue Infections in the ICU."

Reviewed by Carol DerSarkissian on July 30, 2018

SOURCES:

Medscape: "Necrotizing Fasciitis Clinical Presentation," "Emergent Management of Necrotizing Fasciitis."

Merck Manuals: "Necrotizing Skin Infections."

CDC: "Group A Streptococcal (GAS) Disease."

National Necrotizing Fasciitis Foundation: "Necrotizing Fasciitis Factsheet."

American College of Chest Physicians: "Necrotizing Fasciitis and Deep Soft Tissue Infections in the ICU."

Reviewed by Carol DerSarkissian on July 30, 2018

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How do you diagnose necrotizing fasciitis?

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