*Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS* website.**
	Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or view any of our Previous A to Z Features.

You should also know that OutUK has produced a special report about: Coronavirus Covid-19.

This Week - N : Necrotising Fasciitis

Symptoms of necrotising fasciitis

Symptoms of necrotising fasciitis can develop quickly within hours or over a few days.

The infection usually happens near a cut or wound, but sometimes there may be no obvious damage to your skin in the affected area.

At first you may have:

intense pain or loss of feeling - the pain may seem much worse than you would usually expect from a cut or wound, if there is one
redness and swelling of the skin around the affected area (redness may be harder to see on black or brown skin)
flu-like symptoms, such as a high temperature, headache and tiredness

Later symptoms can include:

being sick (vomiting) and diarrhoea
confusion
blisters or black, purple or grey blotches on the skin (blotches may be less obvious on black or brown skin)

Necrotising fasciitis is very rare. The symptoms can be similar to more common skin infections like cellulitis.

you have a cut or wound, or red or swollen area of skin, that is much more painful than you would expect
you have a cut or wound, or red or swollen area of skin, and get symptoms like a high temperature, headache, tiredness and muscle aches
you have sudden confusion, feel dizzy, or feel like your heart is pounding, beating very fast, fluttering or missing a beat
you have black, purple or grey blotches or blisters near a cut or wound, or a red or swollen area of skin

Redness may be harder to see on black or brown skin.

Find your nearest A&E

Do not drive to A&E. Ask someone to drive you or call 999 and ask for an ambulance.

Bring any medicines you take with you.

If you are not sure what to do, call 111 or get help from 111 online.

NHS 111 can tell you the right place to get help.

Necrotising fasciitis gets worse quickly and can be fatal. It must be treated in hospital as soon as possible.

Treatment will usually include:

Even after successful treatment, there may be long-term changes in how your body looks and how you move or use the affected part of your body.

Sometimes amputation of affected limbs is needed.

You may need further surgery and physiotherapy to help you recover.

Necrotising fasciitis is an infection caused by bacteria getting into the deep layers of your skin.

The infection may get into your body through:

You may be more at risk from developing necrotising fasciitis if you have diabetes or a weakened immune system.

We'll have more information and advice next week on another topic in our A to Z of Gay Health. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features. If you want to find out more about this week's subject you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
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