A fatal case of necrotizing fasciitis caused by Serratia marcescens

A patient with a history of type II diabetes mellitus (DM), end stage renal disease (ESRD), and congestive heart failure (CHF) developed necrotizing fasciitis caused by Serratia marcescens after scraping his leg on rocks in a river while fishing. Aggressive management with surgical debridement, anti...

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Bibliographic Details
Published in:The American surgeon 2005-03, Vol.71 (3), p.228-230
Main Authors: Curtis, Christopher E, Chock, Stefan, Henderson, Terrance, Holman, Michael J
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents
Antibiotics
Bacteria
Case studies
Combined Modality Therapy
Debridement - methods
Diabetes
Diabetes Mellitus, Type 2 - complications
Diabetes Mellitus, Type 2 - diagnosis
Diabetes Mellitus, Type 2 - drug therapy
Disease Progression
Drug Therapy, Combination - therapeutic use
Fasciitis, Necrotizing - diagnosis
Fasciitis, Necrotizing - therapy
Fatal Outcome
Heart failure
Heart Failure - complications
Heart Failure - diagnosis
Heart Failure - therapy
Humans
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - diagnosis
Kidney Failure, Chronic - therapy
Lower Extremity
Male
Middle Aged
Serratia Infections - diagnosis
Serratia Infections - therapy
Serratia marcescens - isolation & purification
Severity of Illness Index
Surgery
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Description
Summary:A patient with a history of type II diabetes mellitus (DM), end stage renal disease (ESRD), and congestive heart failure (CHF) developed necrotizing fasciitis caused by Serratia marcescens after scraping his leg on rocks in a river while fishing. Aggressive management with surgical debridement, antibiotics, and pressure support was unsuccessful.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313480507100311