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KMID : 0191120110260010131
Journal of Korean Medical Science
2011 Volume.26 No. 1 p.131 ~ p.134
Fatal Necrotizing Fasciitis Due to Streptococcus pneumoniae: A Case Report
Park So-Youn

Park So-Young
Moon Soo-Youn
Son Jun-Seong
Lee Mi-Suk
Abstract
Necrotizing fasciitis is known to be a highly lethal infection of deep-seated subcutaneous tissue and superficial fascia. Reports of necrotizing fasciitis due to Streptococcus pneumoniae are exceedingly rare. We report a case of necrotizing fasciitis in a 62-yr-old man with liver cirrhosis and diabetes mellitus. He presented with painful swelling of left leg and right hand. On the day of admission, compartment syndrome was aggravated and the patient underwent surgical exploration. Intra-operative findings revealed necrotizing fasciitis and cultures of two blood samples and wound aspirates showed S. pneumoniae. The patient died despite debridement and proper antimicrobial treatment. To the best of our knowledge, this is the first case of fatal necrotizing fasciitis with meningitis reported in Korea. We also review and discuss the literature on pneumococcal necrotizing fasciitis.
KEYWORD
Fasciitis, Necrotizing, Streptococcus pneumoniae, Korea
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