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Published on: September 22, 2019
Necrotizing fasciitis caused by Salmonella enteritidis
Marcel J G Andriessen1, Angela M M Kotsopoulos, Frank W Bloemers
1Department of Intensive Care, VU University Medical Center, Amsterdam, The Netherlands. M.J.G.Andriessen@westfriesgasthuis.nl
Scandinavian Journal of Infectious Diseases
|December 7, 2006
Summary
Necrotizing fasciitis with sepsis, a severe infection, can develop from Salmonella enteritidis in immunocompromised individuals. Prompt surgical intervention, including amputation, and intensive care are crucial for recovery.
Area of Science:
- Infectious Diseases
- Surgical Pathology
- Critical Care Medicine
Background:
- Necrotizing fasciitis is a rapidly progressive bacterial infection that can lead to sepsis and multi-organ failure.
- Immunocompromised individuals are at increased risk for severe infections.
- Salmonella enteritidis is a common cause of gastroenteritis, but can also cause invasive disease.
Observation:
- A 57-year-old immunocompromised female presented with abdominal complaints and diarrhea.
- She rapidly developed necrotizing fasciitis and sepsis.
- Surgical intervention, including amputation, was necessary due to progressive deterioration.
Findings:
- Cultures confirmed Salmonella enteritidis as the causative agent.
- The patient was managed in the intensive care unit post-operatively.
- She demonstrated a favorable recovery from sepsis within a few days.
Implications:
- This case highlights the potential for Salmonella enteritidis to cause severe, invasive infections in immunocompromised individuals.
- Early recognition and aggressive surgical management are critical for improving outcomes in necrotizing fasciitis.
- Further research into the pathogenesis of invasive Salmonella infections in vulnerable populations is warranted.
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