Figure 5From: Complicated skin, skin structure and soft tissue infections - are we threatened by multi-resistant pathogens? 40 year old women with encephalitis disseminata and anti TNF α therapy. After shaving of the axilla she develloped a fulminant septic shock with MOF, due to GAS bacteriemia. The black livid efflorescence looks like a map showing the typical picture of necrotising fasciitis. The progress of the skin alteration occured within 2 -3 hours.Back to article page