A mixed synergistic necrotizing fasciitis in the perineum of diabetics.
Diabetes, often there is no preceding trauma.
Surgery is the primary treatment, for antibiotics (third generation cephalosporins PLUS metronidazole) OR carbapenems alone OR (quinolone PLUS metronidazole) OR penicillin/beta-lactamase inhibitors. ALL SELECTIONS +/- aminoglycosides if septic.
ICD9 Codes (Soon to be supplanted by ICD10)