title: Fournier's gangrene caused by Listeria monocytogenes as the primary organism.
abstract: A 70-year-old man with a history of tongue cancer presented with Fournier's gangrene caused by Listeria monocytogenes serotype 4b. Surgical debridement revealed undiagnosed rectal adenocarcinoma. The patient did not have an apparent dietary or travel history but reported daily consumption of sashimi (raw fish). Old age and immunodeficiency due to rectal adenocarcinoma may have supported the direct invasion of L monocytogenes from the tumour. The present article describes the first reported case of Fournier's gangrene caused by L monocytogenes. The authors suggest that raw ready-to-eat seafood consumption be recognized as a risk factor for listeriosis, especially in cases of skin and soft tissue infection.
authors: Department of Infectious Diseases, Tokyo Women's Medical University;
authors: Sayaka
authors: S
authors: Asahata
authors: Department of Infectious Diseases, Tokyo Women's Medical University;
authors: Yuji
authors: Y
authors: Hirai
authors: Department of Infectious Diseases, Tokyo Women's Medical University;
authors: Yusuke
authors: Y
authors: Ainoda
authors: Department of Infectious Diseases, Tokyo Women's Medical University;
authors: Takahiro
authors: T
authors: Fujita
authors: Division of Biomedical Food Research, National Institute of Health Sciences, Tokyo, Japan.
authors: Yumiko
authors: Y
authors: Okada
authors: Department of Infectious Diseases, Tokyo Women's Medical University;
authors: Ken
authors: K
authors: Kikuchi
keywords: Fournier’s gangrene; Listeria monocytogenes; Raw ready-toeat food; Rectal carcinoma