A case of hidradenitis suppurativa complicated by necrotizing soft tissue infection

The authors aim to highlight the challenges of diagnosing necrotizing soft tissue infection (NSTI) in patients with hidradenitis suppurativa (HS), as the condition can present with subtle or nonspecific symptoms that may be mistaken for less severe issues. They present a case of a 28-year-old man with HS who exhibited rapid progression of symptoms, ultimately leading to a diagnosis of NSTI that required emergent surgical intervention. The findings emphasize the need for heightened awareness and frequent reassessment in similar cases to ensure timely diagnosis and treatment.