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Necrotizing Fasciitis Caused by Aeromonas hydrophilia in an Immunocompetent Child

Abuhammour, Walid MD; Hasan, Rashed A. MD; Rogers, Donza BS

Illustrative Cases

Abstract: Necrotizing fasciitis is a rapidly progressive and potentially fatal infection. It is characterized by extensive subcutaneous and muscle necrosis. Aeromonus hydrophilia is a gram-negative faculatively anaerobic bacillus that is part of the normal flora of nonfecal sewage and is found in most water systems, soil, and fresh brackish water. Necrotizing fasciitis caused by A. hydrophilia have occurred in children who had underlying systemic diseases or immune dysfunction. We report a 14-year-old boy without underlying systemic diseases or immunodeficiency who developed necrotizing fasciitis secondary to A. hydrophilia and he was successfully treated with extensive surgical debridement and systemic antibiotics.

Pediatric Infectious Disease, Hurley Medical Center, Michigan State University, East Lansing, MI.

Supported by grants from the Health Resources and Services Administration-Maternal and Child Health Bureau (MCH #1H33 MC 00088 01) and by the Robert Wood Johnson Foundation (Injury-Free Coalition for Kids #047012).

Address correspondence and reprint requests to Walid Abuhammour, MD, Pediatric Infectious Disease, Hurley Medical Center, One Hurley Plaza, Flint, MI 48503. E-mail: Wabuham1@hurleymc.com.

© 2006 Lippincott Williams & Wilkins, Inc.