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Necrotizing Fasciitis: Severe infection which travels in the suprafacial plane. In this instance, the infection started in the perirectal region and spread anterially through the parineum and up over the right inguinal area. The picture on the left demonstrates marked inflammation. The picture on the right was taken several days later and several fistulae are now apparent in the skin. This infection is normally treated with aggresive surgical debridment. However, in this case, advanced cancer precluded the use of any operative approach.

Image Credit

Charlie Goldberg, M.D.