Fig. 1

A 57-year-old diabetic male experienced trauma to the right lower limb that resulted in immediate pain, swelling, and subcutaneous congestion. The patient did not seek treatment; therefore, the swelling and pain became widespread. The patient attended a local hospital where he underwent multifocal debridement and received antibiotic therapy, but his condition did not respond. Ten days later, the patient was transferred to our department for further definitive treatment. a the right lower limb was painful, with swelling and erythema. Multifocal debridement was performed, and necrotic tissue was exposed. b Foul smelling dishwater pus was present. c Aggressive debridement was performed revealing extensive necrosis of fascia and subcutaneous tissue. d Following surgery, the patient underwent negative pressure wound therapy and debridement at the bedside. e The clean wound bed was closed using sutures; the patient was discharged when all the sutures were removed, 2 weeks postoperatively