Another cause of necrotizing fasciitis?
Necrotizing fasciitis is a rare condition, but has a devastating clinical course if it is not diagnosed early and treated aggressively. There are usually a number of organisms implicated in its pathogenesis, but in this case report a patient is presented in whom the only organism isolated from both tissue and blood cultures was Clostridium septicum. This organism almost always causes a myonecrosis, but in this case only the superficial and deep fascial layers were affected, sparing the underlying muscle. Clostridium septicum resulting in a true necrotizing fasciitis with no myonecrosis and being the only isolate from both blood and tissue cultures has not been previously reported in literature.
Schreuder
F
F
Orthopaedic Department, St Peter's Hospital, Chertsey, Surrey, U.K.
Chatoo
M
M
D000368:Aged; D000369:Aged, 80 and over; D003013:Clostridium; D003015:Clostridium Infections / Q000382:microbiology*; D019115:Fasciitis, Necrotizing / Q000382:microbiology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans