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Successfully Treated Upper-Extremity Necrotizing Fasciitis Caused by Photobacterium damselae

Joshua M Schwartz1, Eric R Taleghani1, Eduardo J Natal-Albelo1

  • 1Department of Orthopaedics, University of Virginia, Charlottesville, VA.

Journal of Hand Surgery Global Online
|March 28, 2023
PubMed

Insights

Necrotizing fasciitis caused by Photobacterium damselae (P. damselae) is rare but aggressive. This case highlights successful treatment of P. damselae necrotizing fasciitis, offering insights into managing this severe infection.

Area of Science:

  • Infectious Diseases
  • Microbiology
  • Dermatology

Background:

  • Necrotizing fasciitis is a severe soft-tissue infection with high mortality.
  • Commonly associated bacteria include Streptococcus pyogenes, Clostridium, Streptococcus, and Staphylococcus species.
  • Photobacterium damselae (P. damselae), a marine-associated bacterium, is an uncommon but virulent cause of necrotizing fasciitis.

Observation:

  • P. damselae necrotizing fasciitis often presents atypically and progresses rapidly.
  • This can lead to higher rates of severe complications and mortality compared to other causes.
  • A case of upper extremity P. damselae necrotizing fasciitis is presented.

Findings:

  • The presented case of P. damselae necrotizing fasciitis was successfully treated.
  • Specific management strategies contributed to a favorable patient outcome.
  • The patient was discharged home without any complications.

Implications:

  • Successful management of P. damselae necrotizing fasciitis is achievable.
  • Understanding atypical presentations and rapid progression is crucial for timely diagnosis and treatment.
  • This case provides valuable insights for clinicians managing rare but severe soft-tissue infections.
Keywords:
Necrotizing fasciitisPhotobacterium damselaeSoft-tissue infectionUpper extremityVibrio damselae

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