title: A Fatal Case of Necrotizing Fasciitis Caused by a Highly Virulent Escherichia coli Strain.
abstract: Necrotizing fasciitis is a serious disease characterized by the necrosis of the subcutaneous tissues and fascia. E. coli as the etiologic agent of necrotizing fasciitis is a rare occurrence. A 66-year-old woman underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy. She rapidly developed necrotizing fasciitis which led to her death 68 hours following surgery. An E. coli strain was isolated from blood and fascia cultures. DNA microarray revealed the presence of 20 virulence genes.
authors.affiliation: Laboratoire de Santé Publique du Québec, Sainte-Anne-de-Bellevue, QC, Canada H9X 3R5; Département de Microbiologie, Infectiologie et Immunologie, Université de Montréal, Montréal, QC, Canada H3T 1J4.
authors.forename: Sadjia
authors.identifier: 0000-0001-9840-0114
authors.initials: S
authors.lastname: Bekal
authors.affiliation: Centre Hospitalier Affilié Universitaire, Hôtel-Dieu de Lévis, Lévis, QC, Canada G6V 3Z1.
authors.forename: André
authors.initials: A
authors.lastname: Vincent
authors.affiliation: Laboratoire de Santé Publique du Québec, Sainte-Anne-de-Bellevue, QC, Canada H9X 3R5.
authors.forename: Alex
authors.initials: A
authors.lastname: Lin
authors.affiliation: Faculté de Médecine Vétérinaire, Université de Montréal, Saint-Hyacinthe, QC, Canada J2S 2M2.
authors.forename: Josée
authors.initials: J
authors.lastname: Harel
authors.affiliation: Laboratoire de Santé Publique du Québec, Sainte-Anne-de-Bellevue, QC, Canada H9X 3R5.
authors.forename: Jean-Charles
authors.initials: JC
authors.lastname: Côté
authors.affiliation: Laboratoire de Santé Publique du Québec, Sainte-Anne-de-Bellevue, QC, Canada H9X 3R5; Département de Microbiologie, Infectiologie et Immunologie, Université de Montréal, Montréal, QC, Canada H3T 1J4.
authors.forename: Cécile
authors.initials: C
authors.lastname: Tremblay