Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine
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To review currently available evidence on the epidemiology and methods of management for necrotising fasciitis, with particular reference to Hong Kong. ⋯ Clinicians must adopt a high index of suspicion for necrotising fasciitis. Empirical antibiotics must be started early and repeated physical examinations should be performed, while maintaining a low threshold for tissue biopsy and surgery. The timing of the first fasciotomy and radical debridement within a window of 24 hours from symptom onset is associated with significantly improved survival.