Fig. 2.

Multifocal necrotizing fasciitis 5 years after the onset of extrahepatic cutaneous lesions in patient number 13. a A multifocal presence of necrotizing fasciitis occurred in the bilateral lower limbs; b hemorrhagic bullae developed on the dorsum of the right foot; c Violet, swollen skin with out-of-proportion pain was rapidly progressive in the left leg; d and e there was no resistance of normally adherent fascia to digital blunt dissection, and there was a purulent discharge resembling foul-smelling dishwater in immediate fasciotomies on the bilateral lower legs