JBJS | Aeromonas Hydrophila Necrotizing Fasciitis: A Case Report

The Journal of Bone & Joint Surgery, Volume 88, Issue 6

Case Reports | June 01, 2006

Aeromonas Hydrophila Necrotizing Fasciitis: A Case Report

B.L.S. Borger van der Burg, MD¹; M.W.G.A. Bronkhorst, MD¹; P.V.M. Pahlplatz, PhD¹

¹ Department of Surgery, Bronovo Hospital, Bronovolaan 5, 2597 AX, The Hague, The Netherlands. E-mail address for B.L.S. Borger van der Burg: boudewijn.borgervanderburg@gmail.com

The Journal of Bone & Joint Surgery. 2006; 88:1357-1360 doi:10.2106/JBJS.C.00923

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We present the case of a patient involving a rare combination of events. A nonimmunocompromised patient who was in a motorcycle collision and came into contact with stagnant water became septic within twenty-four hours after the injury and had a severe necrotizing fasciitis develop because of contamination of an open fracture of the leg. Early blood and wound cultures grew only Aeromonas hydrophila, and the clinical diagnosis of necrotizing fasciitis was confirmed histologically. Subcutaneous emphysema developed after eight days. Twenty-seven days after the injury, a transfemoral amputation was performed; however, the patient died twenty-two days later because of multiple organ failure and sepsis with Pseudomonas aeruginosa. The patient's family was informed that data concerning the case would be submitted for publication.

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aeromonas hydrophila ; necrotizing fasciitis

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