Coagulase-Positive Staphylococcal Necrotizing Fasciitis Subsequent to Shoulder Sprain in a Healthy Woman.
10.4055/cios.2010.2.4.256
- Author:
Hyeung June KIM
1
;
Dong Heon KIM
;
Duk Hwan KO
Author Information
1. Department of Orthopedic Surgery, Konkuk University School of Medicine, Chungju, Korea. kodukan@google.com
- Publication Type:Case Report
- Keywords:
Necrotizing fasciitis;
Staphylococcus aureus;
Sprain
- MeSH:
*Arm;
Coagulase/metabolism;
Fasciitis, Necrotizing/*etiology/microbiology/pathology/surgery;
Female;
Humans;
Middle Aged;
Shoulder Joint/*injuries;
Sprains and Strains/*complications;
Staphylococcal Infections/*etiology/microbiology;
Staphylococcus aureus/enzymology/isolation & purification
- From:Clinics in Orthopedic Surgery
2010;2(4):256-259
- CountryRepublic of Korea
- Language:English
-
Abstract:
Necrotizing fasciitis (NF) is a deep infection of the subcutaneous tissue that progressively destroys fascia and fat; it is associated with systemic toxicity, a fulminant course, and high mortality. NF most frequently develops from trauma that compromises skin integrity, and is more common in patients with predisposing medical conditions such as diabetes mellitus, atherosclerosis, alcoholism, renal disease, liver disease, immunosuppression, malignancy, or corticosteroid use. Most often, NF is caused by polymicrobial pathogens including aerobic and anaerobic bacteria. NF caused by Staphylococcus aureus as a single pathogen, however, is rare. Here we report a case of NF that developed in a healthy woman after an isolated shoulder sprain that occurred without breaking a skin barrier, and was caused by Staphylococcus aureus as a single pathogen.
