Martin's job was an engineer, his fingers were punctured by copper wire. After that, his wound was infected by bacteria. The doctor diagnosed him with Necrotizing Fasciitis. He needs to operate immediately. But he didn’t buy insurance and he couldn’t afford expensive medical expenses.
What is Necrotizing fasciitis?
Necrotizing fasciitis (NF), commonly known as flesh-eating disease, is an infection that results in the death of the body's soft tissue. It is a severe disease of sudden onset that spreads rapidly. Symptoms include red or purple skin in the affected area, severe pain, fever, and vomiting. The most commonly affected areas are the limbs and perineum.Delays in surgery are associated with a higher risk of death. Despite high-quality treatment, the risk of death is between 25 and 35%.
Symptoms may include fever, swelling, and complaint of excessive pain when compared to a small, benign swelling on the skin. The initial skin changes are similar to cellulitis and abscess, thus making the diagnosis of necrotizing fasciitis at early stages difficult. Induration (hardening of the skin and soft tissue) and swelling beyond the area of skin changes are commonly present in those with early necrotizing changes. The redness and swelling usually blend into surrounding normal tissues. The overlying skin may appear shiny and tense. Other signs which are more suggestive of necrotizing changes (but present in later stages in 7 to 44% of the cases) are: formation of bullae, skin ecchymosis which is present before skin necrosis (skin turning from red to purple and black due to thrombosis of blood vessels),presence of gas in tissues, and reduced or absent sensation over the skin (due to the necrosis of the underlying nerves). Rapid progression to shock despite antibiotic therapy is another indication of necrotizing fasciiitis. Necrotizing changes affecting the groin are known as Fournier gangrene.