A 32-year-old healthy woman was referred to our Emergency Department (ED) for concern of a necrotizing soft tissue infection (NSTI). Two days earlier, she suffered a laceration on the lateral aspect of her right ankle during a bicycle accident. She irrigated it with an over-the-counter cleaning solution, and after noticing redness around the wound, went to an urgent care center where radiographs revealed air in the soft tissue near the laceration. Physical examination demonstrated a well-appearing woman who was afebrile with normal vital signs. Her ankle had a small laceration with surrounding erythema, obvious crepitus, and mild tenderness to palpation. Laboratory analysis, including C-reactive protein and erythrocyte sedimentation rate, was unremarkable. Her radiograph is seen in Figure 1.
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Published online: February 02, 2015
Accepted: December 21, 2014
Received in revised form: December 10, 2014
Received: September 23, 2013
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