Monomicrobial Pseudomonas necrotizing fasciitis: a case of infection by two strains and a review of 37 cases in the literature

Scand J Infect Dis. 2012 Mar;44(3):216-21. doi: 10.3109/00365548.2011.626441. Epub 2011 Nov 29.

Abstract

Necrotizing fasciitis due to Pseudomonas aeruginosa is rare. We report a case of monomicrobial Pseudomonas necrotizing fasciitis and review 37 cases in the literature. The mortality rate was 30%, and most infections occurred in the immunocompromised. Clinicians should consider empiric pseudomonal antibiotic coverage in the severely immunocompromised with potentially necrotizing infections.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Debridement
  • Fasciitis, Necrotizing / microbiology*
  • Fasciitis, Necrotizing / mortality
  • Fasciitis, Necrotizing / pathology*
  • Fasciitis, Necrotizing / therapy
  • Histocytochemistry
  • Humans
  • Immunocompromised Host
  • Male
  • Microscopy
  • Middle Aged
  • Pseudomonas Infections / diagnosis*
  • Pseudomonas Infections / microbiology
  • Pseudomonas Infections / mortality
  • Pseudomonas Infections / pathology*
  • Pseudomonas Infections / therapy
  • Pseudomonas aeruginosa / isolation & purification*
  • Subcutaneous Tissue / microbiology
  • Subcutaneous Tissue / pathology

Substances

  • Anti-Bacterial Agents