Necrotizing fasciitis is a bacterial infection of the soft tissue and fascia layer of the meat packing body. It is important to detect problems as soon as possible because it can lead to myonecrosis in which complications can cause your hands have to be cut. If you are not lucky, the patient may die due to septic shock. That’s a condition that attacks people with diabetes mellitus in the male ward during the ward round I got a session this morning. Yesterday, when he admitted, there are only a few cuts and abcess near the wrist hands hit the concrete deck at her home while grazing. So, he arrested diwad with cellulitis diagnosis. This morning, a small wound that has spread to the shoulders and his skin turned black. There are some red liquid out of the hands. That is why the diagnosis changed, and patients continue to be sent to the orthopaedic hospital in Kota Bahru.