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Introduction: Necrotizing fasciitis (NF) is known to be a life-threatening condition of the subcutaneous tissue and superficial fascia with rapid progression., Case Presentation: This case report will present a relevant case and summarize the literature to discuss the dilemma of amputation in patients with NF. We present the case of a 32-year-old male with a longstanding history of intravenous drug abuse, who developed NF from a benign cellulitis after injection drug use in his right groin region, for which he underwent surgical debridement followed by above-the-knee amputation because of septic shock. He was discharged after 6 months from admission with all blood biochemical parameters recovered to normal., Conclusion: Prompt intravenous antibiotics administration, surgical debridement, fluid and electrolytes management, and analgesia are the pillars of the treatment, while amputation seems to be a life-saving procedure., Competing Interests: Conflict of Interest: Nil, (Copyright: © Indian Orthopaedic Research Group.)

Acinetobacter baumannii clinical isolates have the ability to survive in the hospital niche for prolonged time periods and to develop resistance against multiple antimicrobial agents. Therefore, A. baumannii has emerged as an important cause of nosocomial outbreaks worldwide, especially in critical-care environments such as intensive care units. In the present communication, we report a multi-drug-resistant A. baumannii outbreak that occurred in an orthopedics department in Greece after the admission of a patient previously hospitalized in the intensive care unit of a Greek tertiary care hospital. Despite the implementation of infection control measures, 29 patients were infected, significantly raising their hospitalization periods and treatment costs. Interestingly, the outbreak was put under control after the department's previously programmed relocation., Competing Interests: The authors declare no conflict of interest.