Septic shock due to community-acquired Pseudomonas aeruginosa necrotizing fasciitis: A case report and literature review

• Published in: Experimental and therapeutic medicine Vol. 7; no. 6; pp. 1545 - 1548
• Main Authors: ZHAO, GUANG-JU, HONG, GUANG-LIANG, LIU, JIE-QUAN, LU, YANG, LU, ZHONG-QIU
• Format: Journal Article
• Language: English
• Published: Greece D.A. Spandidos 01.06.2014; Spandidos Publications; Spandidos Publications UK Ltd
• Subjects: Antibiotics; Care and treatment; Case reports; Case studies; Causes of; Development and progression; Diabetes; Diagnosis; Drug therapy; Gangrene; Health aspects; Heart rate; Hypertension; Kidneys; Mortality; Necrotizing fasciitis; Neutropenia; Patient outcomes; Patients; Pseudomonas aeruginosa; Risk factors; Sepsis; Septic shock; Sodium; Surgery; Thrombosis; China; pseudomonas aeruginosa; septic shock; necrotizing fasciitis
• ISSN: 1792-0981; 1792-1015
• DOI: 10.3892/etm.2014.1628

Necrotizing fasciitis is a rare but fatal infection, characterized by the rapid progression of necrosis of the fascia, skin, soft tissue and muscle. The most common bacteria associated with necrotizing fasciitis is group A streptococcus, although other pathogens have also been implicated. In the present study, a case of community-acquired necrotizing fasciitis, complicated with septic shock and multiple organ dysfunction syndromes due to Pseudomonas aeruginosa, is presented. Despite intensive medical treatment, the condition of the patient deteriorated rapidly and the patient subsequently succumbed to multiple organ failure. In view of the rapid progression and high mortality rate of this disease, early surgery, as well as novel therapeutic approaches for septic shock are required to improve the outcome for patients.