Necrotizing cellulitis


  • Patients are often much less toxic compared with necrotizing fasciitis/necrotizing myositis
  • Two types:
    • Anaerobic infection (clostridial and nonclostridial)
    • Meleney's synergistic gangrene
      • Rare infection that occurs in postop patients
      • Characterized by slowly expanding indolent ulceration that is confined to superficial fascia
      • Results from synergistic interaction between S. aureus and microaerophilic streptococci

Risk Factors

  • Trauma
  • Surgical contamination
  • Spread of infection from bowel to perineum, abdominal wall, or lower extremities

Clinical Features

  • Thin, dark, sometimes foul-smelling wound drainage (often containing fat globules)
  • Tissue gas formation (crepitus)

Differential Diagnosis

Skin and Soft Tissue Infection


Necrotizing rashes



  • Same as Necrotizing Fasciitis


  • Admit/OR

See Also


    This article is issued from Wikem. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.