[A successful treatment of progressive necrotizing myositis caused by Aeromonas veronii biotype sobria].
We report a 52 year-old patient with malignant lymphoma who developed necrotizing soft tissue infection in the left lower extremity by Aeromonas veronii biotype sobria during a neutropenic period after intensive chemotherapy. We decided to amputate the involved leg when signs and symptoms of necrotizing myositis were progressing despite administration of sensitive antibiotics. He survived with subsequent intensive supportive care. It is to note that even though the patient's neutrophil count is zero, he or she should be treated aggressively by drainaging the lesion or even amputation of the involved extremities in combination with proper antibiotics.
Masuya
Ai
A
First Department of Internal Medicine, Fukuoka University School of Medicine.
Tamura
Kazuo
K
Shishime
Mikiko
M
Suzumiya
Junji
J
Takata
Tohru
T
D000333:Aeromonas; D000671:Amputation, Surgical; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004322:Drainage; D016905:Gram-Negative Bacterial Infections / Q000628:therapy*; D006801:Humans; D008223:Lymphoma / Q000150:complications; D008297:Male; D008875:Middle Aged; D009220:Myositis / Q000628:therapy*
D000900:Anti-Bacterial Agents