Abstract
Two patients with rapidly progressive necrotizing fasciitis of a lower extremity due toStaphylococcus aureus as a single pathogen are described. In both patients the portal of entry was attributed to needle puncture (intra-articular injection and intravenous catheter, respectively), followed by bacteremia. Necrotizing fasciitis occurred in a site remote from the needle puncture, suggesting metastatic infection. One patient developed toxic shock syndrome and the other a sunburn-like rash and erythematous mucosae with strawberry tongue. One patient died, and the other required above-knee amputation due to secondary infectious complications.Staphylococcus aureus may mimic the presentation of invasive group A streptococcal infections. A history of needle puncture should alert the physician to the possibility ofStaphylococcus aureus infection.
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Regev, A., Weinberger, M., Fishman, M. et al. Necrotizing fasciitis caused byStaphylococcus aureus . Eur. J. Clin. Microbiol. Infect. Dis. 17, 101–103 (1998). https://doi.org/10.1007/BF01682164
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DOI: https://doi.org/10.1007/BF01682164