Necrotizing fasciitis caused by Salmonella enteritidis

Abstract

A 57-year-old immunocompromized female developed a necrotizing fasciitis with sepsis a few days after abdominal complaints and diarrhoea. Surgery was performed because of progressive worsening of the patient's situation and during surgery the decision was made to perform an amputation. After surgery the patient was brought to the intensive care department for a few days. She recovered from her sepsis within a few days. Cultures showed Salmonella enteritidis.

Fatal Salmonella Typhi Necrotising Fasciitis following Intra-articular Steroid Injection

“…12 Fasciitis necroticans is a rare disease and most of the patients developing it, have pre-existing conditions rendering them susceptible to infections. 9 These contributory factors include diseases like systemic lupus erythematosus, multiple myeloma, chronic steroid use, chronic use of immunosuppressive medications. Severe pain disproportionate to local findings associated with systemic toxicity should raise the suspicion of necrotising fasciitis.…”

“…Very few cases of Salmonella NF have been reported in literature. [6][7][8][9][10][11] This is probably the first reported case of Salmonella NF following intra-articular steroid injection.…”

The Conundrum of the Gram-Positive Rod: Are We Missing Important Pathogens in Complicated Skin and Soft-Tissue Infections? A Case Report and Review of the Literature

“…Loss of host defenses likewise expands the list of potential causative pathogens to include an ever-increasing list of microorganisms, alone or in combination [12,17,18]. A typical polymicrobial scenario is synergistic infection perpetrated by opportunistic anaerobes in the presence of pathogenic gramnegative aerobes [6,23,24].…”

“…Primary infection can also occur as the result of insect or animal bites, thereby including organisms native to a host species as potential pathogens [14][15][16]. Hematogenous seeding from distant or occult sites, known as idiopathic infection, can come from any source [2,6,[17][18][19]. Anaerobic and gram-positive aerobic bacteria are common culprits.…”