title: A fatal case of necrotizing fasciitis caused by Serratia marcescens.
abstract: A patient with a history of type II diabetes mellitus (DM), end stage renal disease (ESRD), and congestive heart failure (CHF) developed necrotizing fasciitis caused by Serratia marcescens after scraping his leg on rocks in a river while fishing. Aggressive management with surgical debridement, antibiotics, and pressure support was unsuccessful.
authors.affiliation: Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
authors.forename: Christopher E
authors.initials: CE
authors.lastname: Curtis
authors.forename: Stefan
authors.initials: S
authors.lastname: Chock
authors.forename: Terrance
authors.initials: T
authors.lastname: Henderson
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Holman
mesh_terms: D000900:Anti-Bacterial Agents; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D018450:Disease Progression; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing / Q000175:diagnosis* / Q000628:therapy; D017809:Fatal Outcome; D006333:Heart Failure / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D016868:Serratia Infections / Q000175:diagnosis* / Q000628:therapy; D012706:Serratia marcescens / Q000302:isolation & purification*; D012720:Severity of Illness Index
chemical_list: D000900:Anti-Bacterial Agents