Necrotizing Fasciitis and Diabetic Ketoacidotic: A Potentially Fatal Combainaison

¹Forensic service, "penitentiary unit", Algiers, Algeria

²Department of Anatomopathology, Mustapha Hospital, Algiers, Algeria

*Corresponding Author: Nassima Dekdouk, Forensic service, "penitentiary unit", Algiers, Algeria; Email: [email protected]

Received Date: February 26, 2024

Publication Date: March 20, 2024

Citation: Dekdouk N, et al. (2024). Necrotizing Fasciitis and Diabetic Ketoacidotic: A Potentially Fatal Combainaison. Diab Res. 1(1):2.

Copyright: Dekdouk N, et al. © (2024).

ABSTRACT

Necrotizing fasciitis is historically described as a “flesh-eating bacteria” and is a life-threatening emergency. Unusual presentations can blind clinicians. Prompt diagnosis and treatment can make the difference between life and death. These infections occur more frequently in diabetics and are associated with higher morbidity and mortality rate. The predisposing factors are diabetes mellitus, immune compromised state, other metabolic disorders and vascular insufficiency.

Diabetic acute complication, diabetic ketoacidosis is an extreme and fatal metabolic state of uncontrolled diabetes. It has been shown to cause metabolic acidosis, drowsiness, and shock in patients, and infection is one of the most common causes of diabetic ketoacidosis.

This is a report of a case Necrotizing fasciitis in a patient complicated with diabetic ketoacidosis it’s about a 63-year old man patient who presented with many risk factors favoring the occurrence of necrotizing fasciitis, namely diabetes mellitus, heart failure chronic renal failure and obesity. Despite treatment; the patient then succumbed.

Its rarity and the paucity of early pathognomonic signs make Necrotizing fasciitis a major diagnostic challenge. The differentiation of necrotizing fasciitis from other soft tissue infections is therefore critically important.

Keywords: Necrotizing fasciitis, diabetic ketoacidosis, diagnostic challenge, Fatal combainaison