Vulvar necrotizing fasciitis is a surgical emergency with a high rate of morbidity and mortality. Our case series adds seven patients to the literature and presents the first group that is predominantly of Pacific-Islander origin. This study not only confirms traditional risk factors such as diabetes mellitus, obesity and hypertension but investigates ethnicity and socioeconomic status as risk factors. Also presented is a case of recurrent necrotizing fasciitis initially involving the vulva, then the back. In any patient for which there is suspicion of vulvar necrotizing fasciitis, surgical diagnosis remains the gold standard and facilitates rapid debridement of all necrotic tissues. Aggressive surgical debridement with broad spectrum antibiotic coverage is required to minimize mortality.
Professional Reference articles are designed for health professionals to use. You may find one of our health articles more useful. Synonyms: necrotising soft tissue infection, Fournier's gangrene necrotising fasciitis of scrotum or vulva , Ludwig's angina necrotising fasciitis of submandibular space.
Current Infectious Disease Reports. November , Cite as. Staphylococcus aureus , although a common commensal bacterium, is a frequent cause of skin and soft tissue infections as well as life-threatening blood stream infections.