To the Editor: The Confederate Army surgeon Joseph Jones first described necrotizing fasciitis in 1871.1 Other names used for this condition have included necrotizing erysipelas, hemolytic streptococcal gangrene, nonclostridial crepitant cellulitis, nonclostridial gas gangrene, synergistic necrotizing cellulitis, bacterial synergistic gangrene, necrotizing cellulitis, and gangrenous erysipelas. When it involves the perineum and scrotum, it is referred to as Fournier's gangrene, first described by Alfred Jean Fournier in 1843.2 The US Centers for Disease Control and Prevention (CDC) estimates that 10,000 to 15,000 cases of invasive Group …

A case of iatrogenic full-thickness chemical burns from monochloroacetic acid (MCA) crystal application is described, followed by a brief review of the relevant literature and discussion of both local and systemic problems that may be encountered with absorption of this chemical. We believe this to be the first reported case of full-thickness burns in association with MCA. The degree of injury and systemic side effects encountered as a procedure complication highlights the importance of using this chemical with care in any clinical setting. In addition, an apparent predilection of MCA for the germinal matrix as found in this case may further complicate reconstructive options for associated injuries.