Right flank necrotizing soft tissue infection

The pictures show wound management of a 48-year-old patient with severe idiopathic necrotizing soft tissue infection (NSTI) of the right flank. The first image (A) shows the right flank after two debridement procedures, including the initial debridement at the referring hospital and one at a burn center. After additional debridement (B) using a Versajet, a negative pressure wound dressing (C) was used to manage the wound. After allografting and autografting, the appearance of the healed skin grafts is shown at one year follow-up (D).