Clinical problem-solving: Necrotizing fasciitis

Jeffrey L. Kaufman, Asher Korzets, Eytan Cohen, Izhar Zahavi, George E. Thibault

Research output: Contribution to journalLetterpeer-review


To the Editor: Magnetic resonance imaging (MRI) of the extremity can be particularly useful in delineating a collection of inflammatory fluid at the interface of muscle and fascia in areas of necrosis. Why was MRI not performed in the patient described in the March 3 Clinical Problem-Solving article,1 especially since the information obtained might have allowed earlier treatment with less tissue loss? The patient had cellulitis in the calf, according to the description. If it remained below the knee, why did the surgeon not consider an open, below-knee amputation with debridement of necrotic fascia? In some cases of sepsis of.

Original languageEnglish
Pages (from-to)279-280
Number of pages2
JournalNew England Journal of Medicine
Issue number4
StatePublished - 28 Jul 1994
Externally publishedYes


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