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Recurrent necrotizing fasciitis caused by methicillin-resistant Staphylococcus aureus
1Department of Hand Surgery, Singapore General Hospital, Singapore. wchinho@hotmail.com
Summary
This report details a rare case of recurrent necrotizing fasciitis caused by methicillin-resistant Staphylococcus aureus (MRSA). The patient experienced two distinct infections, highlighting the need for vigilance in similar cases.
Area of Science:
- Infectious Diseases
- Dermatology
- Surgical Infections
Background:
- Necrotizing fasciitis is a severe bacterial soft tissue infection.
- Comorbidities like diabetes mellitus increase susceptibility to infections.
- Methicillin-resistant Staphylococcus aureus (MRSA) is a significant pathogen in soft tissue infections.
Observation:
- A 46-year-old female with poorly controlled diabetes and chronic steroid use presented with necrotizing fasciitis of the right thigh.
- Three months later, she was readmitted with necrotizing fasciitis of the left hand.
- MRSA was identified in tissue cultures from both episodes.
Findings:
- Recurrent necrotizing fasciitis occurred in the same patient.
- MRSA was the causative agent in both distinct infections.
- The patient had significant comorbidities predisposing to infection.
Implications:
- Recurrent soft tissue infections, especially with MRSA, warrant high suspicion.
- Effective management of underlying conditions like diabetes is crucial.
- Understanding risk factors is key for preventing severe, recurrent infections.