A fatal case of necrotizing fasciitis caused by Serratia marcescens.
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.
Curtis
Christopher E
CE
Drexel University College of Medicine, Philadelphia, Pennsylvania, USA.
Chock
Stefan
S
Henderson
Terrance
T
Holman
Michael J
MJ
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
D000900:Anti-Bacterial Agents