Necrotizing fasciitis and necrotizing pneumonia caused by Streptococcus pyogenes after intramuscular injection in a diabetic patient: A case report
Sevil Alkan Çeviker1, Habibe Tülin Elmaslar Mert2, Halil İbrahim Yıldız3, Emel Yıldız4
1Department of Infectious Diseases and Clinical Microbiology, University of Health Sciences Kütahya Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
2Department of Infectious Diseases and Clinical Microbiology, Trakya University Faculty of Medicine, Edirne, Turkey
3Department of Anesthesiology and Reanimation, University of Health Sciences Kütahya Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
4Department of Orthopedics and Traumatology, University of Health Sciences Kütahya Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
Keywords: Necrotizing fasciitis, necrotizing pneumonia, Streptococcus pyogenes
Abstract
Necrotizing fasciitis (NF) is the progressive necrosis of the skin and fascia and has morbidity and mortality rates of 70‐80%. The main causes of mortality are septic shock, multiorgan failure, and delay in diagnosis and treatment. Microorganisms responsible for NF are often group A Streptococci, Clostridium, and Bacteroides fragilis. Necrotizing fasciitis is a rare, life threatening soft tissue infection that requires emergency surgery and immediate medical attention. In this case report, we present a case of NF and necrotizing pneumonia caused by Streptococcus pyogenes who was admitted to our hospital with severe leg pain after intramuscular injection into the left gluteal region three days earlier.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.