Necrotizing infections are characterized by tissue destructions, severe systemic toxicity and high mortality rate. Thrombosis of blood vessels and massive tissue loss facilitate abundant bacterial spread along the facial planes. Necrotizing fasciitis (NF) and myonecrosis are two rare entities of different depth of skin infections, which spreads at an alarming rate causing bacteraemia, organ failure, shock and death. Clinical indicators of necrotizing fasciitis include severe pain, rapidly spreading edema, bulla formation and toxic shock syndrome. Though NF is very rare, the clinician should not anticipate the chance of remote probability of occurrence, which may pose a lethal risk for the patients.
We present an unusual report of NF in a 35 years old female. Inspite of providing multidisciplinary intensive care therapy, this idiopathic, monomicrobial, acute form of NF turned fatal at the end of 36 hours.