Cases in which the precipitating event is known are classified as secondary necrotizing fasciitis. Bacterial invasion may result from blunt trauma with contusion, abrasions, penetrating injury (e.g., laceration, intravenous, drug abuse and surgical procedures), childbirth or burns, i.e., anything that causes a break in the skin. Idiopathic necrotizing fasciitis, however, occurs in the absence of a known or identifiable etiologic factor, which may make the diagnosis more challenging. The most recent necrotizing fasciitis case handled by Davis Adams, which was resolved favorably for our client, involved idiopathic necrotizing fasciitis.


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