Coagulase-positive staphylococcal necrotizing fasciitis subsequent to shoulder sprain in a healthy woman.
Necrotizing fasciitis (NF) is a deep infection of the subcutaneous tissue that progressively destroys fascia and fat; it is associated with systemic toxicity, a fulminant course, and high mortality. NF most frequently develops from trauma that compromises skin integrity, and is more common in patients with predisposing medical conditions such as diabetes mellitus, atherosclerosis, alcoholism, renal disease, liver disease, immunosuppression, malignancy, or corticosteroid use. Most often, NF is caused by polymicrobial pathogens including aerobic and anaerobic bacteria. NF caused by Staphylococcus aureus as a single pathogen, however, is rare. Here we report a case of NF that developed in a healthy woman after an isolated shoulder sprain that occurred without breaking a skin barrier, and was caused by Staphylococcus aureus as a single pathogen.
Department of Orthopedic Surgery, Konkuk University School of Medicine, Chungju, Korea.
Hyeung-June
HJ
Kim
Dong-Heon
DH
Kim
Duk-Hwan
DH
Ko
D001132:Arm; D003030:Coagulase / Q000378:metabolism; D019115:Fasciitis, Necrotizing / Q000209:etiology* / Q000382:microbiology / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D000070599:Shoulder Injuries; D013180:Sprains and Strains / Q000150:complications*; D013203:Staphylococcal Infections / Q000209:etiology* / Q000382:microbiology; D013211:Staphylococcus aureus / Q000201:enzymology / Q000302:isolation & purification
D003030:Coagulase