Abstract
We report a case of monomicrobial necrotizing fasciitis affecting a healthy woman after caesarean section. On day 1 post-partum she started taking a non-steroidal anti-inflammatory drug. The patient developed an acute fulminant infection and died from sepsis. The causative bacterium was Streptococcus pyogenes.
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Wilson B (1952) Necrotising fasciitis. Am Surg 18:416–431
Stone HH, Martin JD (1972) Synergistic necrotizing cellulites. Ann Surg 175:702–711
McHenry CR, Azar T, Ramahi AJ, Collins PL (1996) Monomicrobial necrotizing fasciitis complicating pregnancy and puerperium. Obstet Gynecol 87:823–826
Hasham S, Matteucci P, Stanley PRW, Hart NB (2005) Necrotising fasciitis. BMJ 330:830–833
Lin C, Yeh FL, Lin JT, Ma H, Hwang CH, Shen BH, Fang RH (2001) Necrotizing fasciitis of the head and neck: an analysis of 47 cases. Plast Reconstr Surg 107:1684–1693
Tung-Yiu W, Jehn-Shyun H, Ching-Hung C, Hung-An C (2000) Cervical necrotizing fasciitis of odontogenic origin: a report of 11 cases. J Oral Maxillofac Surg 58:1347–1352
Thompson CD, Brekken AL, Kutteh WH (1993) Necrotizing fasciitis: a review of management guidelines in a large obstetrics and gynecology. Infect Dis Obstet Gynecol 1:16–22
Fontes RA Jr, Ogilvie CM, Miclau T (2000) Necrotizing soft-tissue infections. J Am Acad Orthop Surg 8:151–158
Francis KR, Lamaute HR, Davis JM, Pizzi WF (1993) Implications of risk factors in necrotizing fasciitis. Am Surg 59:304–308
Goepfert AR, Guinn DA, Andrews WW, Hauth JC (1997) Necrotizing fasciitis after cesarean delivery. Obstet Gynecol 89:409–412
Van Ammers PM, Moore PJ, Sacho H (1991) Necrotizing fasciitis after cesarean section-association with non-steroidal anti-inflammatory drugs. A report of 3 cases. S Afr Med J 80:203–204
Holder EP, Moore PT, Browne BA (1997) Nonsteroidal anti-inflammatory drugs and necrotizing fasciitis. An update. Drug Saf 17:369–373
Rowan JA, North RA (1995) Necrotizing fasciitis in the puerperium. Am J Obstet Gynecol. 173:241–242
Gallup DG, Freedman MA, Meguiar RV, Freedman SN, Nolan TE (2002) Necrotizing fasciitis in gynecologic and obstetric patients: a surgical emergency. Am J Obstet Gynecol 187:305–310
Wall DB, Klein SR, Black S, de Virgilio C (2000) A simple model to help distinguish necrotizing fasciitis from nonnecrotizing soft tissue infection. J Am Coll Surg 191:227–231
Schmid MR, Kossmann T, Duewell S (1998) Differentiation of necrotizing fasciitis and cellulitis using MR imaging. AJR Am J Roentgenol 170:615–620
Haldar MK et al (2004) Necrotising fasciitis following cesarean section. J Obstet Gynaecol 24:87–88
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An erratum to this article can be found at http://dx.doi.org/10.1007/s00404-008-0609-4
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Castro, A.G., Rodriguez-Borregan, J.C., Obeso, T. et al. Necrotizing fasciitis after cesarean section. Arch Gynecol Obstet 277, 579–581 (2008). https://doi.org/10.1007/s00404-007-0509-z
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DOI: https://doi.org/10.1007/s00404-007-0509-z