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Polymicrobial abdominal wall necrotizing fasciitis after cesarean section

Jp DeMuro1, Af Hanna1, E Chalas1

  • 1Winthrop University Hospital, Mineola, New York, USA.

Journal of Surgical Case Reports
|June 25, 2014
PubMed

We report a case of a previously healthy woman after an uneventful caesarean section who developed polymicrobial necrotizing fasciitis. She was given a non-steroidal anti-inflamatory drug (NSAID) after her delivery. Her post-delivery course was complicated by septic shock, and required multiple debridements before abdominal reconstruction. This case describes the increased risk of necrotizing fasciitis with NSAID use. Unusual were the organisms causing the polymicrobial necrotizing fasciitis: Staphylococcus aureus, Enterobacter agglomerans, Acinetobacter baumannii, and two strains of Enterobacter cloacae.

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