A fatal case of necrotizing fasciitis caused by Escherichia coli after road traffic accident

Abstract

OBJECTIVE: Necrotizing fasciitis is a life-threatening skin infection that causes necrosis of subcutaneous tissue and fascia causing high mortality. Monomicrobial necrotizing fasciitis (type II) usually is caused by group A streptococcus. CASE PRESENTATION: We report an exceptional case of Escherichia coli induced necrotizing fasciitis in a young male after a road traffic accident. CONCLUSIONS: Early diagnosis and prompt initiation of antibiotics along with aggressive debridement could lead to a better outcome.

Keywords

• necrotizing fasciitis
• road traffic accident
• gram negative bacteria
• escherichia coli
• sepsis.