Case Study: Treating Necrotizing Fasciitis Caused By Serratia Marcescens
- Volume 24 - Issue 9 - September 2011
- 8466 reads
- 0 comments
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.
1. Ozalay M, Ozkoc G, Akpinar S, Hersekli MA, Tandogan RN. Necrotizing soft-tissue infection of a limb: clinical presentation and factors related to mortality. Foot Ankle Int. 2006;27(8):598-605.
2. Livaoqlu M. Yimaz G, Kerimoqlu S, Aydin K, Karacal N. Necrotizing fasciitis with ruminococcus. J Med Microbiol. 2008;57(Pt 2):246-8.
3. Bellapianta JM, Liungquist K, Tobin E, Uhl R. Necrotizing fasciitis. J Am Acad Orthop Surg. 2009;17(3):174-82.
4. Gunnarsson GL, Brandt PB, Gad D, Struve C, Justesen US. Monomicrobial necrotizing fasciitis in a white male caused by hypermucoviscous Klebsiella pneumoniae. J Med Microbiol. 2009;58(Pt 11):1519-21.
5. Brook I, Frazer EH. Clinical and microbiological features of necrotizing fasciitis. J Clin Microbiol. 1995;33(9):2382-7.
6. Lee YT, Lin JC, Wang NC, Peng MY, Chang FY. Necrotizing fasciitis in a medical center in northern Taiwan: emergence of methicillin-resistant Staphylococcus aureus in the community. J Microbiol Immunol Infect. 2007;40(4):335-41.
7. Eggert J, Bird N, Leitze Z, Peterson M, Gils, CV. The diagnosis and treatment of type II necrotizing fasciitis In a child who presents with minor abrasion, edema and apparent bruising. Wounds. 2009; 21(3):74-78.
8. Galvan-Cabera, J. Necrotizing soft-tissue infections in the feet. Int J Lower Ext Wounds. 2009;8(3):141-146.
9. Zgonis T, Stapleton JJ, Girard-Powell VA, Hagino RT. Surgical management of diabetic foot infections and amputations. AORN J. 2008;87(5):935-46.
10. Taviloglu K, Yanar H. Necrotizing fasciitis: strategies for diagnosis and management. World J Emerg Surg. 2007;8(2):19.
11. Hu A. When bacteria go bad — the case of necrotizing fasciitis. J Young Investigators. 2002;5(8). Available at http://www.jyi.org/features/ft.php?id=463 .