Case Study: Treating Necrotizing Fasciitis Caused By Serratia Marcescens

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Ronald Guberman, DPM, DABPS, CWS, and Lida Faroqi, DPM

   This patient had a case of necrotizing fasciitis caused by Serratia Marcescens. This was a true necrotizing fasciitis as evidenced by the speed in which it progressed and the type of infection it caused. Despite the severity of this infection, the deeper tissues were spared and we were able to discharge the patient to a rehabilitation facility without the loss of his foot or leg. The patient followed up to the wound care clinic and had Dermagraft (Advanced Biohealing) applications to the leg with complete healing to the leg within six months. The foot wound was much more extensive and required more local wound care.

   Dr. Guberman is the Director of Podiatric Medical Education and is the Co-Chief of the Podiatry Division in the Department of Surgery at Wyckoff Heights Medical Center in Brooklyn, N.Y.

   Dr. Faroqi is a Fellow in the Wound Care Fellowship at Wyckoff Heights Medical Center. She completed the PG&Y 36 program at Wyckoff Heights Medical Center as well.


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