Necrotizing Fasciitis Caused by Staphylococcus Aureus

Eur J Clin Microbiol Infect Dis. 1998 Feb;17(2):101-3. doi: 10.1007/BF01682164.


Two patients with rapidly progressive necrotizing fasciitis of a lower extremity due to Staphylococcus 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 of Staphylococcus aureus infection.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aged, 80 and over
  • Bacteremia / microbiology
  • Catheterization, Peripheral
  • Equipment Contamination
  • Fasciitis, Necrotizing / diagnosis
  • Fasciitis, Necrotizing / microbiology*
  • Female
  • Humans
  • Injections, Intra-Articular
  • Middle Aged
  • Needles / microbiology
  • Staphylococcal Infections / microbiology*
  • Staphylococcal Infections / transmission
  • Staphylococcus aureus / isolation & purification*