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Citric acid treatment of necrotizing fasciitis: a report of two cases
Authors:Basavraj S Nagoba  Rajan C Gandhi  Bharat J Wadher  Sanjay P Gandhi  Sohan P Selkar
Affiliation:1. BS Nagoba, PhD, Asst. Dean, Research & Development, MIMSR Medical College & YC Rural Hospital, Latur, India;2. RC Gandhi, MS (Gen. Surgery), MIMSR Medical College & YC Rural Hospital, Latur, India, Gandhi Hospital, Latur, India;3. BJ Wadher, PhD, Medical Microbiology Research Laboratory, PG Department of Microbiology, RTM Nagpur University, Nagpur, India;4. SP Gandhi, MD (Gen. Medicine), Dr Ulhas Patil Medical College, Jalgaon, India, Gandhi Hospital, Latur, India;5. SP Selkar, MPTh, Department of Physiotherapy, MIMSR Medical College & YC Rural Hospital, Latur, India
Abstract:Necrotizing fasciitis is a destructive invasive infection of skin, subcutaneous tissue and deep fascia, with relative sparing of muscle. It is a life‐threatening condition. Here we report two cases of necrotizing fasciitis, which were not responding to conventional antibiotic therapy and local wound care after aggressive debridement. These two cases were treated simply by local application of 3% citric acid. Thus, citric acid was used to compliment wound management following surgical treatment with antibiotics.
Keywords:Citric acid treatment  Necrotizing fasciitis
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