Necrotizing fasciitis of lower extremity caused by Haemophilus influenzae in a healthy adult with a closed lisfranc injury.
Necrotizing fasciitis is a rare bacterial infection with an incidence of approximately 0.4 cases per 100,000 population. Although the majority of cases of necrotizing fasciitis are polymicrobial, a systematic review of the literature found only 7 reports of Haemophilus influenzae as the causal agent, and only 1 incidence of H influenzae causing the infection in a healthy adult. This report documents the unusual case of necrotizing fasciitis in a healthy adult with a history of smoking as her only risk factor. The patient presented with a seemingly innocuous low-grade Lisfranc injury. Our case illustrates the importance of early diagnosis and aggressive surgical management and medical treatment of necrotizing fasciitis.
R Wesley
RW
Gonzalez
The Orthopedic Specialists of South Texas, San Antonio, TX. mmcasillas@mac.com.
Mark M
MM
Casillas
Enrique C
EC
Almaguer
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D019115:Fasciitis, Necrotizing / Q000382:microbiology* / Q000628:therapy*; D005260:Female; D018409:Foot Injuries / Q000150:complications* / Q000628:therapy; D006192:Haemophilus Infections / Q000382:microbiology; D006193:Haemophilus influenzae / Q000302:isolation & purification*; D006801:Humans; D035002:Lower Extremity / Q000382:microbiology*; D012086:Reoperation; D016038:Skin Transplantation
D000900:Anti-Bacterial Agents