Community-Acquired Necrotizing Fasciitis Caused by Serratia marcescens: Case Report and Review

2001 ◽  
Vol 20 (7) ◽  
pp. 509-510 ◽  
Author(s):  
S. Liangpunsakul ◽  
K. J. Pursell
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Serratia Marcescens

Necrotizing Fasciitis of the Lower Extremity Caused by Serratia marcescens

2016 ◽  
Vol 106 (2) ◽  
pp. 144-146 ◽  
Author(s):  
Evelyn G. Heigh ◽  
April Maletta-Bailey ◽  
John Haight ◽  
Gregg S. Landis
Keyword(s):  
Case Report ◽  
Mortality Rate ◽  
Lower Extremity ◽  
Necrotizing Fasciitis ◽  
Serratia Marcescens ◽  
Squamous Cell ◽  
High Mortality ◽  
Squamous Cell Cancer ◽  
Cell Cancer ◽  
Laryngeal Squamous Cell Cancer

Necrotizing fasciitis is a rare and potentially fatal infection, with mortality of up to 30%. This case report describes a patient recovering from a laryngectomy for laryngeal squamous cell cancer who developed nosocomial necrotizing fasciitis of the lower extremity due to Serratia marcescens. Only eight cases of necrotizing fasciitis exclusive to the lower extremity due to S marcescens have been previously reported. Patients with S marcescens necrotizing fasciitis of the lower extremity often have multiple comorbidities, are frequently immunosuppressed, and have a strikingly high mortality rate.

Case Report: When all claims that it is necrotizing fasciitis but Point of care ultrasound (POCUS) proves the opposite!

POCUS Journal ◽  
2018 ◽  
Vol 3 (1) ◽  
pp. 13-14
Author(s):  
Hadiel Kaiyasah, MD, MRCS (Glasgow), ABHS-GS ◽  
Maryam Al Ali, MBBS
Keyword(s):  
Emergency Department ◽  
Critical Care ◽  
Case Report ◽  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Soft Tissue Infection ◽  
Critical Care Unit ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Soft Tissue Infections

Soft tissue ultrasound (ST-USS) has been shown to be of utmost importance in assessing patients with soft tissue infections in the emergency department or critical care unit. It aids in guiding the management of soft tissue infection based on the sonographic findings.

scholarly journals Sonographic exploration for fascial exploration (SEFE) in necrotizing fasciitis: a case report

2020 ◽  
Vol 12 (1) ◽  
Author(s):  
Jessica Fozard ◽  
Krystle Shafer ◽  
Thompson Kehrl
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis

Necrotizing Fasciitis Occurred in the Lymphedematous leg

2021 ◽  
pp. 153473462110230
Author(s):  
Hisako Hara ◽  
Makoto Mihara ◽  
Takeshi Todokoro
Keyword(s):  
Case Report ◽  
Necrotizing Fasciitis ◽  
Lower Limb ◽  
Gynecologic Cancer ◽  
Vital Signs ◽  
Ethics Committee ◽  
Secondary Lymphedema ◽  
Delayed Treatment ◽  
Institutional Ethics ◽  
Life Threatening

Lymphedema is a chronic edema that sometimes occurs after treatment of gynecologic cancer, and cellulitis often occurs concomitantly with lymphedema. On the other hand, necrotizing fasciitis (NF) is a relatively rare, but life-threatening disease. The symptoms in cellulitis and NF are very similar. In this case report, we describe a case in which the diagnosis of NF in a lymphedematous limb was difficult. A 70-year-old woman had secondary lymphedema in bilateral legs and consulted our department. On the first day of lymphedema therapy, the patient complained of vomiting, diarrhea, and fever (37.7 °C) without local fever in the legs. She was diagnosed with acute gastroenteritis. On the next day, swelling and pain in her left leg occurred and her blood pressure was 59/44 mmHg. She was diagnosed with cellulitis accompanied by lower limb lymphedema and septic shock. On the second day, blisters appeared on the left leg, and computed tomography showed NF. We performed debridement under general anesthesia and her vital signs improved postoperatively. Streptococcus agalactiae (B) was detected in blood culture, and we administered bixillin and clindamycin. Postoperatively, necrosis in the skin and fat around the left ankle gradually spread, and it took 5 months to complete epithelialization. The diagnosis was more difficult than usual NF because patients with lymphedema often experience cellulitis. Clinicians should always think of NF to avoid mortality due to delayed treatment. This case report was approved by the institutional ethics committee.

Pseudomonas aeruginosa necrotizing fasciitis: a case report

1998 ◽  
Vol 37 (2) ◽  
pp. 188-190 ◽  
Author(s):  
A.A. Tsekouras ◽  
A. Johnson ◽  
G. Miller ◽  
H.I. Orton
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Case Report ◽  
Necrotizing Fasciitis
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