03 October 2025
: Case report 
Necrotizing Fasciitis and Targeted Muscle Reinnervation in the Upper Extremity: A Case Report
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment
Joaquín Herrera Leigh
ABEF 1,2*, Carlos A. Córdova A 1,2, Sara Fischer AEF 1,2
DOI: 10.12659/AJCR.949459
Am J Case Rep 2025; 26:e949459
Table 1 Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score.
| Criteria | Value | Points |
|---|---|---|
| C-reactive protein (mg/L) | <150 | 0 |
| ≥150 | 4 | |
| WBC per mm | <15 | 0 |
| 15–25 | 1 | |
| >25 | 2 | |
| Hemoglobin (g/dL) | >13.5 | 0 |
| 11–13.5 | 1 | |
| <11 | 2 | |
| Sodium | ≥135 | 0 |
| <135 | 2 | |
| Creatinine | ≤1.6 mg/dL/141 μmol/L | 0 |
| >1.6 mg/dL/141 μmol/L | 2 | |
| Glucose | ≤180 mg/dL/10 mmol/L | 0 |
| >180 mg/dL/10 mmol/L | 1 |