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Case Reports: Fatal Necrotizing Fasciitis Caused by Aeromonas sobria in Two Diabetic Patients

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Clinical Orthopaedics and Related Research

Abstract

We report two rare cases of Aeromonas sobria necrotizing fasciitis with sepsis in patients with diabetes. In both cases, immediate fasciotomy was performed and appropriate empiric antimicrobial therapy and intensive care were administered. However, the two patients died on Day 2 and Day 11, respectively, after admission as a result of multiple organ failure. When patients present with a rapid onset of skin necrosis and progressive sepsis, an Aeromonas sobria infection or Vibrio infection should be considered in the differential diagnosis.

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Fig. 1A–D
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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, Chia-Yi, Chang Gung University College of Medicine, No 6, West Sec, Chia-Pu Road, Putz City, Chia-Yi, 613, Taiwan, ROC

    Yao-Hung Tsai MD, Kuo-Chin Huang MD, Tsung-Jen Huang MD & Robert Wen-Wei Hsu MD

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  1. Yao-Hung Tsai MD
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  2. Kuo-Chin Huang MD
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  3. Tsung-Jen Huang MD
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  4. Robert Wen-Wei Hsu MD
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Correspondence to Yao-Hung Tsai MD.

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Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution has approved the reporting of these case reports, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Tsai, YH., Huang, KC., Huang, TJ. et al. Case Reports: Fatal Necrotizing Fasciitis Caused by Aeromonas sobria in Two Diabetic Patients. Clin Orthop Relat Res 467, 846–849 (2009). https://doi.org/10.1007/s11999-008-0504-0

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  • DOI: https://doi.org/10.1007/s11999-008-0504-0

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