Introduction:

Necrotizing fasciitis has a polymicrobial origin. It is characterized by extensive necrosis accompanied by gas formation in the subcutaneous tissue and superficial fascia.

Objective:

To describe the successful therapeutic management of two cases with necrotizing fasciitis.

Clinical case:

Two patients treated at Abel Santamaría Cuadrado General Teaching Hospital, women at the third and fourth decades of life, with extensive area of cellulitis and rapidly progressing necrosis, need for surgical treatment and positive cultures of Pseudomonas and Escherichia coli, respectively, with systemic clinical repercussions.

Conclusions:

Necrotizing fasciitis is a disease of rapid progression and varied etiology, which puts the patient's life at risk; the diagnosis must be suspected early, offering timely and aggressive intervention, and management must be multidisciplinary.

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