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Necrotising fasciitis — MCCQE Part 1 MCQ

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ModerateSkin LesionsNecrotising fasciitisMCCQE Part 1

A 55-year-old diabetic man has progressive right leg erythema, blistering, dusky discolouration, and crepitus. Temp 39.8, HR 130, BP 85/50, lactate 6.5. Most appropriate management?

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Correct answer: C — Emergent surgical debridement + broad-spectrum IV antibiotics + ICU

Necrotising fasciitis: surgical emergency. Every hour of delay increases mortality. Broad-spectrum antibiotics adjunctive. Imaging must NEVER delay surgery when clinical suspicion high.

Reference: Canadian Surgical Infection Society