title: Necrotizing infection due to Bacillus cereus mimicking gas gangrene following penetrating trauma.
abstract: An 8-year-old boy presented with fulminant necrotizing infection resembling gas gangrene following penetrating trauma from a tree branch. Bacillus cereus was isolated from tissue specimens, showing that unexpected pathogens can be isolated. It is essential to submit specimens for culture, as this organism is typically resistant to beta-lactam antibiotics and metronidazole, the empiric choice for gas gangrene.
authors.affiliation: Department of Microbiology and Infectious Diseases, South Western Area Pathology Service, South Western Sydney Area Health Service, Sydney, Australia.
authors.forename: Archie
authors.initials: A
authors.lastname: Darbar
authors.forename: Ian A
authors.initials: IA
authors.lastname: Harris
authors.forename: Iain B
authors.initials: IB
authors.lastname: Gosbell
mesh_terms: D000900:Anti-Bacterial Agents; D001409:Bacillus cereus / Q000302:isolation & purification*; D002481:Cellulitis / Q000175:diagnosis / Q000209:etiology / Q000473:pathology* / Q000628:therapy*; D002648:Child; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D019115:Fasciitis, Necrotizing; D005500:Follow-Up Studies; D005738:Gas Gangrene / Q000175:diagnosis*; D016908:Gram-Positive Bacterial Infections / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007869:Leg Injuries / Q000150:complications / Q000000981:diagnostic imaging; D008297:Male; D009336:Necrosis / Q000473:pathology / Q000601:surgery; D011859:Radiography; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014946:Wound Infection / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D014950:Wounds, Penetrating / Q000150:complications / Q000175:diagnosis
chemical_list: D000900:Anti-Bacterial Agents