Post Partum Necrotizing Fasciitis: A Cases Study

Necrotizing fasciitis is an uncommon and life-threatening soft tissue infection caused by pathogenic bacteria that spread rapidly along the fascia and produce enzymes and toxins that destroy soft tissues, the absence of pathognomonic symptoms makes its diagnosis difficult. Rapidly progressive, it is a life-threatening emergency with a fatal prognosis in 30% of cases. The treatment is mixed and combines aggressive surgical debridement with medical treatment based on antibiotics. This article covers three cases of women who developed necrotizing fasciitis of the abdominal wall, two following a cesarean section and one having a vaginal delivery with disjunction of the pubic symphysis. Surgical treatment took place before septic shock in all three patients; one death occurred in this case study.