{
  "abstract": "Necrotizing fasciitis (NF) is a rapidly progressive soft tissue infection with high morbidity and mortality, especially in patients with diabetes mellitus. Early diagnosis is challenging because initial clinical signs may be subtle, yet timely intervention is critical to prevent limb loss and death. We report a 68-year-old male with long-standing type 2 diabetes mellitus and multiple comorbidities who presented with a 1-week history of rapidly progressive left foot pain and swelling extending to the mid-calf. Laboratory investigations revealed marked inflammation, and imaging indicated fascial involvement. The patient underwent multiple surgical debridements, broad-spectrum intravenous antibiotics, strict glycemic control, limb off-loading, tibial angioplasty to optimize perfusion, and advanced wound care including negative pressure wound therapy and reconstructive procedures. Progressive healing was achieved without major amputation. Limb salvage remains feasible in selected diabetic patients with limb-threatening NF when early recognition, aggressive surgical management, vascular optimization, metabolic control, and coordinated multidisciplinary care are implemented.",
  "abstract_shown": true,
  "affiliations": [
    "Podiatric Foot and Ankle Surgery Unit, Dr. Sulaiman Al Habib Medical Group, Jeddah, Saudi Arabia.",
    "General Medicine Practice Program, Batterjee Medical College, Jeddah, Saudi Arabia.",
    "Podiatric Foot and Ankle Surgery Unit, International Medical Center, Jeddah, Saudi Arabia."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Ghadia Mohammed Alsarori",
      "orcid": "0009-0006-8955-8431"
    },
    {
      "affs": [
        0
      ],
      "name": "Seba Ahmed Bin Maadhah",
      "orcid": "0009-0000-0371-8702"
    },
    {
      "affs": [
        0
      ],
      "name": "Rakan Mansor Alhareth",
      "orcid": "0009-0001-2639-5253"
    },
    {
      "affs": [
        0
      ],
      "name": "Mohammed Sami Binobaidallah"
    },
    {
      "affs": [
        1
      ],
      "name": "Abdulelah K Alqawlaq",
      "orcid": "0009-0006-7844-8288"
    },
    {
      "affs": [
        0,
        2
      ],
      "name": "Hani Mohammed Badahdah",
      "orcid": "0009-0007-3013-0534"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/bv57aqexrq6sz.bib",
  "cited_by": 0,
  "doi": "10.13107/jocr.2026.v16.i11.8475",
  "fulltext_url": "https://europepmc.org/articles/PMC13740983",
  "id": "bv57aqexrq6sz",
  "issns": [
    "2250-0685",
    "2321-3817"
  ],
  "landing_url": "https://europepmc.org/article/MED/42997118",
  "language": "eng",
  "licence": "CC-BY-NC",
  "licence_label": "CC BY-NC",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by-nc/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2725|Streptococcal Infections and Treatments"
    ]
  ],
  "openalex": "W7225580420",
  "pdf_url": "https://europepmc.org/articles/PMC13740983?pdf=render",
  "pmcid": "PMC13740983",
  "pmid": "42997118",
  "published": "2026-11-01",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/bv57aqexrq6sz.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42997118",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42997118"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2725|Streptococcal Infections and Treatments",
      "subfield": "infectious-disease"
    }
  ],
  "title": "Limb Salvage in Limb-Threatening Necrotizing Fasciitis of the Diabetic Foot: A Case Report.",
  "title_text": "Limb Salvage in Limb-Threatening Necrotizing Fasciitis of the Diabetic Foot: A Case Report.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/bv57aqexrq6sz",
  "venue": "Journal of orthopaedic case reports",
  "versions": []
}