title: Fatal necrotizing fasciitis caused by a toothpick injury.
abstract: Necrotizing fasciitis is a severe life-threatening infection. The portal of entry is usually a site of disruption of the skin barrier. We report a case of fatal necrotizing fasciitis caused by an accidental toothpick injury--a unique injury mechanism not reported this far to cause necrotizing fasciitis. Although toothpick injuries are usually regarded as trivial, it should be kept in mind that they have the potential to cause such a lethal infection.
authors.affiliation: Adult Infectious Diseases Unit, Soroka Medical Center, Beer-Sheva, Israel.
authors.forename: J
authors.initials: J
authors.lastname: Gilad
authors.forename: A
authors.initials: A
authors.lastname: Borer
authors.forename: N
authors.initials: N
authors.lastname: Weksler
authors.forename: K
authors.initials: K
authors.lastname: Riesenberg
authors.forename: F
authors.initials: F
authors.lastname: Schlaeffer
mesh_terms: D000038:Abscess / Q000209:etiology*; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents; D018450:Disease Progression; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000188:drug therapy / Q000209:etiology*; D017809:Fatal Outcome; D005549:Foreign-Body Reaction / Q000209:etiology*; D006801:Humans; D007557:Israel; D008297:Male; D017695:Soft Tissue Injuries / Q000150:complications*; D013848:Thigh / Q000293:injuries*; D014950:Wounds, Penetrating / Q000150:complications*
chemical_list: D000900:Anti-Bacterial Agents