DOI: https://doi.org/10.36347/sasjs.2025.v11i11.002

Pages: 1047-1051

Introduction: Necrotizing fasciitis (NF) is a rare, life-threatening necrotizing bacterial dermo-hypodermitis that extends to the fascial planes. This study reports the experience of a traumatology-orthopedics department at the Rabat Military Teaching Hospital in managing this emergency. This was a retrospective study that included 13 consecutive patients treated for NF of the limbs between 2018 and 2023. Management was multidisciplinary, based on resuscitation, antibiotic therapy, and surgery. The series included 12 patients. Diabetes and immunosuppression were the predominant risk factors. The mean time to first surgical intervention was 4.5 days. All patients required iterative surgical debridement. Coverage surgery was performed later, with a mean delay of 3 to 4 weeks. Beta-hemolytic streptococcus was the most frequent pathogen. NF is a medical-surgical emergency whose prognosis depends on early diagnosis and aggressive, multidisciplinary management. Our experience underscores the crucial importance of extensive and early surgery, combined with appropriate antibiotic therapy.