ABSTRACT
Necrotizing fasciitis has been described as a rapidly progressive process, but at least some patients may describe a relatively indolent period before seeking medical attention, with subsequent decompensation giving the outward appearance of rapid progression. The rationale for the former had its genesis in the treatment of anaerobic NSTIs such as clostridial necrotizing myositis, and the latter as an attempt to improve the treatment of aggressive group. A streptococcal infections and their complications such as streptococcal toxic shock syndrome. The most common synonyms for necrotizing muscle infections are gas gangrene, clostridial/streptococcal myonecrosis, and necrotizing myositis. There has been little in the literature to suggest a standardized approach to NSTI. HBO therapy is a theoretically attractive potential therapy for NSTIs, utilizing oxygen as a direct toxin to combat anaerobic bacteria. NSTIs are uncommon, highly lethal diseases requiring rapid diagnosis and treatment to achieve optimal outcomes.
