title: [Necrotizing fasciitis after a cat bite: a case report].
abstract: We report on a previously healthy 56-year-old woman who was referred to our hospital with fever and progressive left foot pain. She had been bitten by a cat 7 days previously, and cephalosporins had been prescribed for treatment. However, her clinical symptoms deteriorated, and physical examination on admission was compatible with necrotizing fasciitis. Treatment with ampicillin-sulbactam and clindamycin was initiated. In addition, immediate surgical debridement was performed, resulting in therapeutic success. Culture of the necrotizing tissue grew multiple organisms, including Pasteurella multocida and Bacteroides caccae. Administration of appropriate antibiotics after a cat bite is essential for the prevention of potentially fatal complications.
authors.affiliation: Department of Infectious Diseases, Tokyo Metropolitan Komagome Hospital.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Hosoda
authors.forename: Naoki
authors.initials: N
authors.lastname: Yanagisawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Morioka
authors.forename: Akihiko
authors.initials: A
authors.lastname: Suganuma
authors.forename: Akifumi
authors.initials: A
authors.lastname: Imamura
authors.forename: Atsushi
authors.initials: A
authors.lastname: Ajisawa
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001439:Bacteroides / Q000302:isolation & purification; D001733:Bites and Stings / Q000175:diagnosis / Q000628:therapy; D002415:Cats; D003646:Debridement / Q000379:methods; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology; D005260:Female; D006801:Humans; D008875:Middle Aged; D010325:Pasteurella / Q000302:isolation & purification
chemical_list: D000900:Anti-Bacterial Agents