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A case of gonococcal necrotising fasciitis
Kudzai Nzenza Kanhutu1, Denis D Spelman2, Michael D Weymouth3
1Department of Infectious Diseases, The Alfred Hospital, 55 Commercial Road, Melbourne, Vic. 3004, Australia.
Abstract:
This case report details the progress of a patient with severe disseminated gonococcal infection with associated necrotising fasciitis. His admission was punctuated by multiple surgical debridements and a prolonged intensive care stay due to multiple organ failure. An extended course of azithromycin-based antimicrobial therapy achieved a cure and the patient was eventually discharged home after 8 weeks. To our knowledge this is the first such case of histologically and microbiologically confirmed gonococcal necrotising fasciitis.
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