ISSN:
1435-4373
Keywords:
Necrotizing fasciitis
;
Staphylococcus aureus
;
Bacteremia
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
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.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01682164
