Crohn's disease is a chronic, granulomatous disease that affects the gut th
at is frequently treated with immunosuppressive therapy. Infectious complic
ations are common and are usually related to the transmural nature of the i
nflammation, frequently manifesting as abscesses or perianal sepsis. Necrot
izing fasciitis has not been reported in Crohn's disease. A case of a fatal
necrotizing fasciitis in a patient with Crohn's disease after gut biopsies
and corticosteroid therapy is reported.