Serratia marcescens necrotizing fasciitis presenting as bilateral breast necrosis

J Clin Microbiol. 2012 Oct;50(10):3406-8. doi: 10.1128/JCM.00843-12. Epub 2012 Jul 25.


Serratia marcescens is an extremely rare cause of necrotizing fasciitis. We report the first case of necrotizing fasciitis of the chest wall due to infection with S. marcescens that initially manifested as bilateral breast necrosis. The patient had a fulminant course leading to death within 72 h of presentation. Literature pertinent to S. marcescens-mediated necrotizing fasciitis is also reviewed.

Publication types

  • Case Reports

MeSH terms

  • Anti-Bacterial Agents / pharmacology
  • Breast / pathology*
  • Fasciitis, Necrotizing / diagnosis*
  • Fasciitis, Necrotizing / pathology*
  • Fatal Outcome
  • Female
  • Humans
  • Microbial Sensitivity Tests
  • Middle Aged
  • Necrosis / pathology*
  • Serratia Infections / diagnosis*
  • Serratia Infections / pathology*
  • Serratia marcescens / drug effects
  • Serratia marcescens / isolation & purification*


  • Anti-Bacterial Agents